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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317002780
Report Date: 12/06/2023
Date Signed: 12/06/2023 02:24:42 PM

Document Has Been Signed on 12/06/2023 02:24 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:RYAN FAMILY CARE HOMEFACILITY NUMBER:
317002780
ADMINISTRATOR:ERIC RYANFACILITY TYPE:
735
ADDRESS:12285 RIO OSO ROADTELEPHONE:
(530) 269-1892
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY: 6CENSUS: 5DATE:
12/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Anna Ryan, AdministratorTIME COMPLETED:
03:00 PM
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On December 6, 2023 LPA Tryon visited the facility to conduct an annual visit. LPA met with Administrator Anna Ryan.
LPA toured the facility with Ms. Ryan including common areas, kitchen, bedrooms, hallways, bathrooms, outside.
Food supplies were reviewed and appear adequate to meet the requirement of 2 days perishable and 7 days non-perishable supplies. There was plenty of fresh and frozen food, along with plenty of canned and boxed food.
Facility has cleaning supplies that are secured. Medications are centrally stored and locked. Smoke detectors are installed and functioning, along with carbon monoxide detector and charged fire extinguisher. LPA tested the hot water and it measured 111 degrees F. within the required range of 105 to 120 degrees.
Bedrooms are appropriately furnished with required furniture, bedding, blankets, pillows, etc. The facility has adequate linens/towels, etc.

LPA reviewed 3 client files and 3 staff files.

At this time, the facility appears to be in substantial compliance with regulations.
No deficiencies were cited at this visit.

Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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