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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002503
Report Date: 09/08/2022
Date Signed: 09/08/2022 10:15:38 AM


Document Has Been Signed on 09/08/2022 10:15 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:ALMOND BLOSSOM SENIOR CARE-BIDWELL HEIGHTSFACILITY NUMBER:
045002503
ADMINISTRATOR:CARTWRIGHT, KATHERINEFACILITY TYPE:
740
ADDRESS:1 BUDLEE COURTTELEPHONE:
(530) 809-2408
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:6CENSUS: 6DATE:
09/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Katherine Cartwright - Executive DirectorTIME COMPLETED:
10:30 AM
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09/08/2022 9:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with Executive Director Katherine Cartwright and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask, gloves. Additionally, LPA Knight was screened by facility staff.

LPA Knight and Ms. Cartwright toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident rooms, two (2) bathrooms, dining room, office and storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Knight and Ms. Cartwright completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report was emailed to Katherine Cartwright.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Rebecca KnightTELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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