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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045920042
Report Date: 08/19/2024
Date Signed: 08/19/2024 11:32:11 AM


Document Has Been Signed on 08/19/2024 11:32 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:ALMOND BLOSSOM ASSISTED LIVING-BH 1FACILITY NUMBER:
045920042
ADMINISTRATOR:CARTWRIGHT, KATHERINEFACILITY TYPE:
740
ADDRESS:1 BUDLEE CTTELEPHONE:
(530) 809-2408
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:6CENSUS: DATE:
08/19/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator- Katherine Cartwright TIME COMPLETED:
11:45 AM
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On 8/19/2024, LPA Boyles and LPM Crocker met with the Licensee, Katherine Cartwright, and the administrators to discuss the emergency disaster plan. The licensee agreed to update emergency disaster plans for all three facilities to reflect updated temporary evacuation shelter locations that can absorb the capacity for all three facilities should the need for an evacuation occur. The licensee will create a variety of temporary evacuation shelter locations for the variety of emergencies that can occur within the community.
The Licensee will provide updated emergency disaster plan to the LPA in one week.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae BoylesTELEPHONE: (916) 208-6251
LICENSING EVALUATOR SIGNATURE:
DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2024
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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