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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002775
Report Date: 07/22/2022
Date Signed: 08/03/2022 02:32:44 PM


Document Has Been Signed on 08/03/2022 02:32 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:ROSELEAF GARDENSFACILITY NUMBER:
045002775
ADMINISTRATOR:SMITH, AUDREFACILITY TYPE:
740
ADDRESS:2770 SIERRA LADERATELEPHONE:
(530) 895-0800
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:56CENSUS: DATE:
07/22/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Audre Smith and Sridhar NaguynuriTIME COMPLETED:
10:00 AM
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An office meeting was held on 7/22/2022, via Microsoft Teams to discuss topics listed in this report. The delay in getting report completed same day was a result of the CCLD server going down.
The following Licensing staff were present:
Regional Manager (RM) Alycia Berryman, Licensing Program Manager (LPM) Laura Munoz, and Licensing Program Analyst (LPA) Jaclyn Avila
The following representatives present:
Residential Care Coordinator Amber Farmer (Roseleaf Oroville), Administrator Audre Smith (Roseleaf Gardens), Administrator Samantha Guarino (Roseleaf Senior Care), Stephen Ratliff Chief Operating Officer, CEO/Licensee Sridhar Naguynuri and Attorney Joel S. Goldman
The following topics were covered during today's meeting:
· Citations issued to Roseleaf Oroville on 7/15/2022
· Physical plant: Roseleaf Oroville- malfunctioning Fire alarm system, inoperable air conditioning system, inoperable water heater, call system
· Staffing levels to meet the needs of residents in care and considerations for determining how many staff are needed
· Facility Administrator vacancies
· Overall operation of all facilities
Documents requested and due by 7/29/2022:
New Administrator documents
Letter/recommendation from Fire system vendor Voltage Specialist regarding the condition of the fire system
Letter from Fire Marshal Chris Boyd with Cal Fire regarding recommendation for the fire system.
Letter from ACCO Engineered Systems regarding recommendation for air conditioner

A copy of this report will be provided to Licensee Sridhar Naguynuril via e-mail. A copy will be signed and returned to CCL via e-mail.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Jaclyn AvilaTELEPHONE: (530) 895-4275
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2022
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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