<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002503
Report Date: 10/03/2023
Date Signed: 10/03/2023 04:08:31 PM


Document Has Been Signed on 10/03/2023 04:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



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: 4DATE:
10/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator- Emily Lanser TIME COMPLETED:
04:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/3/2023, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with the Administrator, Emily Lanser, and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA observed an activity calendar and activity materials. LPA observed the facility to be clean, in good repair and odor-free. All bathrooms to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Hot water measured at 108 degrees in restrooms, shower rooms.

Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Freezer temperature is maintained a zero degrees Fahrenheit and the refrigerator is maintained at 45 degrees Fahrenheit.

LPA toured the backyard which had an outdoor furniture which is shaded.


LPA observed one (1)fire extinguisher which were last services in February of 2023. LPA observed fire detectors, and carbon monoxide detectors in resident rooms.
In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA reviewed a total of three (3) residents' files and three (3) staff files.

Several topics were discussed. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.

SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae BoylesTELEPHONE: (916) 917-3040
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1