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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 312700810
Report Date: 06/28/2021
Date Signed: 06/28/2021 12:32:00 PM

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) 308-0698
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 0DATE:
06/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jonabel OngTIME COMPLETED:
11:30 AM
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LPA checked with licensee prior to visiting, to ascertain that no one has COVID-19 or COVID-like symptoms. LPA performed daily self-screening and has no symptoms. LPA checked with licensee and she was okay with LPA visiting with a surgical mask.

On 6/28/2021 LPA Todd Tryon arrived at the facility to conduct a final walk-through of the house. Licensee Jonabel Ong had informed CCL that she no longer wishes to keep the facility license at this time.

LPA toured the facility including bedrooms, common areas, kitchen,viewed the back yard, etc.

At this time, the licensee's family is living in the house, but there are no residents living there. The facility has not had any residents since opening last year; and has made the decision to surrender the license.

Mrs. Ong surrendered the license to LPA during the visit.

At this time the facility is closed. LPA will close the license out in the CCL system.

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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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