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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 295002880
Report Date: 01/25/2023
Date Signed: 01/26/2023 09:45:04 AM

Document Has Been Signed on 01/26/2023 09:45 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:ODYSSEY HOUSEFACILITY NUMBER:
295002880
ADMINISTRATOR:PHENIX, DIANE LCSWFACILITY TYPE:
772
ADDRESS:995 HELLING WAYTELEPHONE:
(530) 265-7222
CITY:NEVADA CITYSTATE: CAZIP CODE:
95959
CAPACITY: 16CENSUS: DATE:
01/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Diane Phenix, Director and Tana CastilloTIME COMPLETED:
04:00 PM
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LPA Tryon arrived at the facility unannounced to do an annual visit. LPA met with Director Diane Phenix.

The facility moved into the new building a year ago, after temporarily re-locating. .LPA toured the facility with staff including common areas, kitchen, food storage, dining area, bedrooms, bathrooms, hallways, outside areas, medication room, laundry room, storage for cleaners,etc, office, conference room. The facility appears to be clean, well-furnished, and in good condition. Smoke detectors are installed and functioning. Fire extinguishers present and charged. There appears to be adequate perishable and non-perishable food supplies, cleaning supplies, PPE, etc. Activity supply present.

LPA reviewed the Infection Control Section of the CARE Tool. No issues were noted.

At this time, the facility appears to be in substantial compliance with the regulations.

Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
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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