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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045920150
Report Date: 05/22/2024
Date Signed: 05/22/2024 09:21:54 AM

Document Has Been Signed on 05/22/2024 09:21 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:RIDGE HOUSEFACILITY NUMBER:
045920150
ADMINISTRATOR/
DIRECTOR:		RHODES, RENEEFACILITY TYPE:
735
ADDRESS:1077 VIA VERONA DRIVETELEPHONE:
(530) 988-9419
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY: 5CENSUS: 0DATE:
05/22/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:29 AM
MET WITH:Administrator- Renee Rhodes TIME VISIT/
INSPECTION COMPLETED:
09:15 AM
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On 5/22/2024 Licensing Program Analyst (LPA) Jaynae Boyles arrived at the facility announced to conduct a Pre licensing Inspection. LPA's met with administrator, Renee Rhodes, and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure that the facility is in compliance for adult residential facility. Areas toured include but are not limited to: common areas, bedrooms, backyard, garage and restrooms.

LPA observed the facility to be clean, in good repair and odor-free. No personal rights violations observed.

The facility was equip with required fire extinguishers, fire detectors and carbon monoxide detectors.

Component III waived.

No deficiencies noted.

This facility is ready to be licensed.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Jaynae Boyles
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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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