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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 097005102
Report Date: 01/29/2024
Date Signed: 01/29/2024 01:14:10 PM

Document Has Been Signed on 01/29/2024 01:14 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
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: 27DATE:
01/29/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Nicole Reed, Clinical DirectorTIME COMPLETED:
01:30 PM
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On 01/29/2024 Licensing Program Analyst (LPA) Lavinia Muscan, arrived at the facility unannounced to conduct an annual visit. LPA met with Clinical Director, Nicole Reed and explained the purpose of the visit. During today's annual inspection the Compliance and Regulatory Enforcement Tool was used.

LPA and Clinical Director toured facility together to ensure health and safety of clients in care. During today's visit there were 27 clients in care. LPA checked the kitchen area for the ability to prepare and store food. LPA observed cleaning products and other toxins to be locked away. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Fire drills are current. Disaster drill is current. Water temperature is within compliance. Areas toured include but are not limited to: stalls, pastures, barn, house, garage, portables, and other outdoor areas. In the areas toured, there were no health or safety violations observed.

LPA and Clinical Director completed the Compliance and Regulatory Enforcement Tool 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: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2024
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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