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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002620
Report Date: 01/14/2025
Date Signed: 01/14/2025 12:17:17 PM

Document Has Been Signed on 01/14/2025 12:17 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:WESTMONT OF CHICO-THE INN AT THE TERRACESFACILITY NUMBER:
045002620
ADMINISTRATOR/
DIRECTOR:		KEENE, CLIFFFACILITY TYPE:
740
ADDRESS:2950 SIERRA SUNRISE TERRACETELEPHONE:
(530) 894-5429
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 99TOTAL ENROLLED CHILDREN: 0CENSUS: 82DATE:
01/14/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Administrator- Cliff KeeneTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 01/14/2025, Licensing Program Analysts (LPA) Ivan Avila arrived unannounced at the facility to conduct a collateral visit. LPAs met with Administrator Cliff Keene.

During today's visit, LPAs spoke with Administrator regarding an incident not related to this facility.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

Exit Interview conducted and a copy of the report was provided to Administrator.
Anthony PerezTELEPHONE: (323) 485-4915
Ivan AvilaTELEPHONE: (559) 974-4915
DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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