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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002980
Report Date: 01/31/2023
Date Signed: 01/31/2023 11:20:35 AM


Document Has Been Signed on 01/31/2023 11:20 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:SUMMER SUNSHINE LLCFACILITY NUMBER:
315002980
ADMINISTRATOR:NICULAI, LEONTINFACILITY TYPE:
740
ADDRESS:859 SHETLAND COURTTELEPHONE:
(916) 755-9463
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:6CENSUS: 0DATE:
01/31/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Leontin NiculaiTIME COMPLETED:
12:00 PM
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On Tuesday January 31, 2023, Licensing Program Analyst Melissa Parks arrived to conduct a prelicensing inspection. Due to Covid-19 precautions, LPA wore N95 respirator upon entering the property. LPA was greeted with Administrator Leontin and allowed entry into the facility.

LPA toured the facility with Administrator Leontin and Manager Nadia. This facility has a fire clearance for 6 non-ambulatory residents. There are 5 resident bedrooms, one staff bedroom and 2 bathrooms. All bedrooms contain the required furniture. Bathroom water temperatures were recorded at 114.6 and 113.6. Showers and bathtub have required nonskid mats. Kitchen is clean and organized. All knives and sharp objects are kept locked and inaccessible to clients. All appliances in the kitchen are observed to be clean and operational. Toxins and cleaning supplies are locked under the kitchen sink. Medications will be kept locked in hallway closet. Washer and dryer are in a separate room by the garage and are clean and noted to be operational. There are locked cabinets in the laundry room for detergent and additional cleaning supplies. Backyard was clear of debris and hazards.

Administrator tested fire alarms and are in working order. Facility has one fire extinguishers which was recently purchased. Facility has a fully stocked first aid kit.

Component III has been completed at this time with Administrator Leontin.

The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa ParksTELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023
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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