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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005671
Report Date: 08/14/2023
Date Signed: 08/14/2023 03:20:59 PM


Document Has Been Signed on 08/14/2023 03:20 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:ALMOND GARDENSFACILITY NUMBER:
317005671
ADMINISTRATOR:NISHA PATELFACILITY TYPE:
740
ADDRESS:174 ALMOND STREETTELEPHONE:
(530) 885-5678
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:10CENSUS: 7DATE:
08/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jennifer Clarke, AdministratorTIME COMPLETED:
04:15 PM
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On 8/14/2023 LPA visited the facility to complete an annual visit. LPA met with Administrator Jennifer Clarke. LPA toured the facility including common areas, kitchen, food storage, bedrooms, bathrooms, hallways, outside area.
The facility appears to be clean, nicely furnished and free of hazards. Smoke detectors/fire system installed, fire extinguishers present and charged, carbon monoxide detectors installed.
Bedrooms are appropriately furnished with appropriate furniture, bedding, etc. The facility has adequate supply of linens, towels, hygiene supplies and so forth. Food supplies are appropriate to meet the requirement of 2 days perishable and 7 days non-perishable supplies.

LPA reviewed the CARES Tool with the administrator, reviewed client and staff file information, etc.

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

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2023
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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