<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 236804078
Report Date: 06/28/2022
Date Signed: 06/28/2022 12:19:46 PM

Document Has Been Signed on 06/28/2022 12:19 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:MARIA ZOILA INCFACILITY NUMBER:
236804078
ADMINISTRATOR:BARLAHAN, ROSS EVAN P.FACILITY TYPE:
735
ADDRESS:48A WHITMORE LANETELEPHONE:
(707) 623-7770
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY: 4CENSUS: 0DATE:
06/28/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Ross Evan BarlahanTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At approximately 9:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility announced, for the purpose of completing a pre-licensing evaluation. LPA met with Applicant Ross Evan Barlahan and toured the facility. The Facility is a 3-bedroom, 2-bathroom, single story home. Fire extinguishers were mounted and charged. Smoke detectors were tested and in working order. There was a carbon monoxide detector present. There was a locked area for medications and several for toxins and cleaning supplies. There is a secure area for resident records. Beds were made with appropriate linens. There were supplies of additional bedding stored for resident use. Resident rooms contained furniture as required in 3 of 3 rooms. Hot water temperature was tested and found to be within regulation between 105 degrees F and 120 degrees F at faucets accessible to residents. Facility has infection control posters located throughout the home. Hand sanitizer and/or hand washing locations are throughout the home.

A fire clearance for this facility has been granted for 4 Non-Ambulatory residents.

Component III orientation was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations.

The pre-licensing evaluation has been completed. LPA will submit the application packet for a final review and approval from the Licensing Program Manager.

This report was reviewed with applicant and a copy was provided.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1