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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345920240
Report Date: 12/03/2024
Date Signed: 12/03/2024 02:56:37 PM

Document Has Been Signed on 12/03/2024 02:56 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
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
FACILITY NAME:THOMPSON ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
345920240
ADMINISTRATOR/
DIRECTOR:		THOMPSON, SHARONFACILITY TYPE:
735
ADDRESS:7247 LARCHMONT DRTELEPHONE:
(916) 344-2605
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 8CENSUS: 6DATE:
12/03/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:28 PM
MET WITH:Sharon Thompson & Geraldine ThompsonTIME VISIT/
INSPECTION COMPLETED:
02:54 PM
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Facility Type: ARF
Application Type: CHOW-EAO
Capacity: 8
Census (if any clients in care): 6
COMP II Participants: Sharon Thompson (Managing Member/Administrator) & Geraldine Thompson (Managing Member)
Interview Method: Telephone interview


On December 03, 2024, applicant(s)/administrator participated in COMP II for the below pending facilities: Thompson Adult Residential Facility/345920240, Thompson Residential Facility #2/345920241. Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:
1. Facility operation: License type, client/resident populations, and program
2. Admission Policies
3. Staffing requirements & Training
4. Restrictive/Prohibited Health Conditions
5. General provisions
6. Emergency Preparedness
7. Complaints & Reporting
8. Pre-licensing readiness
SUPERVISORS NAME: Darla Neeley
LICENSING EVALUATOR NAME: Diamond Law
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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