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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005227
Report Date: 07/11/2022
Date Signed: 07/11/2022 03:24:54 PM


Document Has Been Signed on 07/11/2022 03:24 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:PAR PLACE SENIOR LIVINGFACILITY NUMBER:
317005227
ADMINISTRATOR:SANCHEZ, GERALDINEFACILITY TYPE:
740
ADDRESS:2407 PAR PLACETELEPHONE:
(916) 624-2985
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:6CENSUS: 6DATE:
07/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Geraldine (Gina) SanchezTIME COMPLETED:
04:00 PM
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On 7/11/2022 LPA Tryon arrived at the facility unannounced to complete an annual visit using the Infection Control Domain of the CARES Tool. LPA met with Administrator Geraldine (Gina) Sanchez.

LPA reviewed the Infection Control domain of the CARES Tool with Mrs. Sanchez. She has already submitted the new Infection Control Plan which was recently required by the Department.

LPA toured the facility including common areas, kitchen, bathrooms, bedrooms, hallways, garage/strorage, yard. The home appears to be clean, well-furnished and in good condition. Smoke detectors checked and fire extinguishers. The home has a good supply of fresh and non-perishable food and other supplies.

The home has 6 private bedrooms for residents.

At this time, the facility appears to be in substantial compliance with the regulations and Infection Control Practices.

No deficiencies were cited at this visit.

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2022
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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