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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 097005102
Report Date: 01/25/2023
Date Signed: 01/25/2023 10:07:39 AM

Document Has Been Signed on 01/25/2023 10:07 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
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:OPPORTUNITY ACRES INC.FACILITY NUMBER:
097005102
ADMINISTRATOR:WAGNER, MICHELLEFACILITY TYPE:
775
ADDRESS:7315 S. SHINGLE ROADTELEPHONE:
(530) 672-9462
CITY:SHINGLE SPRINGSSTATE: CAZIP CODE:
95682
CAPACITY: 40CENSUS: 23DATE:
01/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nicole Reed, Clinical DirectorTIME COMPLETED:
10:30 AM
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On 01/25/2023 Licensing Program Analyst (LPA) Lavinia Muscan, arrived at the facility unannounced to conduct an annual visit using the infection control tool visit. LPA met with Clinical Director, Nicole Reed and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she used hand sanitizer shortly before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.

LPA and Clinical Director toured facility together to ensure health and safety of clients in care. During today's visit there were 23 clients. Areas toured include but are not limited to: stalls, pastures, barn, house, garage, portables, and other outdoor areas.

LPA and Clinical Director completed the infection control domain together and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report left at the facility.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2023
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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