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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700715
Report Date: 03/04/2025
Date Signed: 03/04/2025 09:56:29 AM

Document Has Been Signed on 03/04/2025 09:56 AM - 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:BRIDAN HOME CAREFACILITY NUMBER:
342700715
ADMINISTRATOR/
DIRECTOR:
REDHAIR, IDAFACILITY TYPE:
735
ADDRESS:5525 BELLINGHAM WAYTELEPHONE:
(916) 673-9323
CITY:ORANGEVALE,STATE: CAZIP CODE:
95662
CAPACITY: 4CENSUS: 3DATE:
03/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Staff, Jean GonzalesTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On 03/04/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct a required annual inspection. LPA met with staff, Jean Gonzales and explained purpose of inspection. The facility is an ARF that is vendorized through Alta California Regional Center. There are three (3) clients who reside at the home. One (1) client was at day program and two (2) clients were present during today's visit.

LPA and staff toured the interior and exterior of the facility including the common areas, client bedrooms, client bathrooms, kitchen, laundry area/garage. LPA observed the home to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. LPA observed various infection control posters throughout as well as other required postings, including house Rules and personal rights. Inside temperature was observed to be 72* F. Fire extinguisher last serviced 12/14/24 and was ready for emergency use. Facility conducts monthly fire and disaster drills, at different hours of the day. The facility has a large back yard area with seating. There are no pools/ponds. LPA observed locked toxins in the laundry area and locked medications in a separate cabinet. LPA observed sufficient 2+day perishable/7+day non-perishable food and sufficient PPE on hand. LPA observed paper towels, soap, sanitizer, trash cans and hand-washing posters in the bathroom. Water temperature measured 111* degree F in the kitchen. Smoke/monoxide alarms were in working order. Games/activities observed on site.

LPA reviewed two (2) client files and two (2) staff files and found the required documentation on file, including staff training. LPA reviewed P&I funds and medications for (2) clients and found no errors.


No deficiencies were observed or cited today per Title 22, CCR Regulations.
Exit interview conducted. A copy of this report was provided to staff.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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