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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002726
Report Date: 05/10/2021
Date Signed: 05/14/2021 01:10:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:PHOENIX HOUSEFACILITY NUMBER:
045002726
ADMINISTRATOR:DAVIDSON, WILLIAMFACILITY TYPE:
735
ADDRESS:43 MEADOWVIEW DRIVETELEPHONE:
(530) 353-3870
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:4CENSUS: 4DATE:
05/10/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Arlene GroosTIME COMPLETED:
12:00 PM
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On 5/10/21 at 11AM, Community Care Licensing (CCL) held an Office Meeting via Microsoft teams with Licensee CALIFORNIA VOCATIONS, INC. Representing the licensee and present was Scott Blow, Arlene Groos, and human resources. Present from Community Care Licensing was Licensing Program Managers: Laura Munoz, Troy Ordonez, Rayna Bryson, Regional Manager Alycia Berryman and Licensing Program Analyst Jaclyn Avila.

The purpose of the meeting was to discuss the facility’s COVID-19 mitigation plan in addition to the facility’s compliance with Community Care Licensing recommendations for infection control. Per the licensee, the facility has not been conducting surveillance testing as recommended by PIN 20-38 due to verbiage of PIN stating "should" and not "shall." The licensee voiced concern over retention of staff if this infection control measure is implemented. Licensee did state staff are wearing their masks at all times in the facility.

PIN 20-38 page two, paragraph three and four states:
Licensees should continue to follow guidance in all applicable CDSS PINs in addition to guidance or instructions from:
· Health care providers;
· CDC· CDPH· DDS; and·LPHD
If there are differing requirement between the most current CDC, CDPH, CDSS, DDS, and LPHD guidance or health orders, licensees should follow the strictest requirements.

CCL will follow up with referrals to assist facility with infection control and staffing. Regional Manager Berryman explained surveillance testing of staff was not optional for licensed facilities. Synonym for should is must.

Licensee will follow up with local public health to obtain COVID 19 test for staff and notify CCL by end of week. Licensee stated California Vocations has a nurse on staff who could conduct the testing.

No citations issued during todays meeting
SUPERVISOR'S NAME: Rayna L BrysonTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaclyn AvilaTELEPHONE: (530) 895-4275
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2021
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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