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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700427
Report Date: 02/08/2023
Date Signed: 02/08/2023 02:22:09 PM


Document Has Been Signed on 02/08/2023 02:22 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
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:WOODVIEW CARE HOMEFACILITY NUMBER:
342700427
ADMINISTRATOR:NEGRU, INGRID DIANAFACILITY TYPE:
740
ADDRESS:120 WOODVIEW DRTELEPHONE:
(773) 318-3588
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:6CENSUS: 5DATE:
02/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Administrator: Christine Smeu TIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 02/08/2023 to conduct an unannounced Required- 1 Year inspection using the infection control tool. LPA met with Administrator, Christine Smeu, and explained the purpose of the visit. LPA ensured the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by staff.

LPA and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, six (6) resident bedrooms, and three (3) common restrooms. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report left at the facility
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Sarena KeosavangTELEPHONE: (209) 202-9552
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023
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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