<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005671
Report Date: 08/09/2024
Date Signed: 08/09/2024 02:33:55 PM


Document Has Been Signed on 08/09/2024 02:33 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:
08/09/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Nisha Patel and Jennifer ClarkTIME COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/9/2024 LPA visited the facility to conduct an annual inspection. LPA met with Licensee Nisha Patel and Administrator Jennifer Clark. The facility currently has 7 residents.


LPA toured the facility including common areas, kitchen, pantry, dining area, bedrooms, bathrooms, hallways, etc.

The facility appears to be clean and in good condition. There are plenty of food supplies, PPE, cleaners, etc.

Smoke/carbon monoxide detectors are installed; fire extinguishers charged and present.

Medications are centrally stored and locked. MARS are kept for medications. Cleaners and other potentially hazardous items are secured.

LPA reviewed the CARE Tool, reviewed 3 staff files and 3 resident files. Files contained appropriate documentation.

At this time the facility appears to be in substantial compliance with the regulations.

No deficiencies were cited at this visit.

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1