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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 312700810
Report Date: 06/04/2021
Date Signed: 06/04/2021 10:20:35 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:RADIANT LIVING SENIOR CAREFACILITY NUMBER:
312700810
ADMINISTRATOR:ONG, JONABELFACILITY TYPE:
740
ADDRESS:3081 RADIANT WAYTELEPHONE:
(916) 251-7715
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 0DATE:
06/04/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Jonabel Ong (Admin)TIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Konnor Leitzell arrived at the facility unannounced on 6/4/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with Jonabel Ong (Administrator) and explained the purpose of the visit. Prior to initiating the annual inspection, 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 they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Masks.

LPA was informed there were no clients in care upon arrival and continued to conducted the Annual Inspection. LPA and admin toured facility together to ensure no residents were in care. Areas toured include but are not limited to: common areas, five (5) of five (5) bedrooms, bathrooms, kitchen, and backyard. In the areas toured no clients were viewed. LPA and admin completed the infection control domain.

LPA was informed during visit that Licensee has closed out LLC, and is moving to a Sole Proprietorship. LPA to schedule Office Meeting with facility representatives to discuss next actions.

No deficiencies are being cited as a result of todays inspection.
Exit interview conducted and copy of report left at the facility.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Konnor LeitzellTELEPHONE: (916) 708-9618
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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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