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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347003558
Report Date: 03/12/2025
Date Signed: 03/12/2025 11:51:37 AM

Document Has Been Signed on 03/12/2025 11:51 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:SUNBEAM BARRIOS HOMEFACILITY NUMBER:
347003558
ADMINISTRATOR/
DIRECTOR:		BARRIOS, NORMANFACILITY TYPE:
735
ADDRESS:8579 PHEASANT HILL CTTELEPHONE:
(916) 988-5248
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 6CENSUS: 6DATE:
03/12/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Staff (DSP)-Thelma MamarilTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 03/12/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct a required annual inspection. LPA met with Staff (DSP)-Thelma Mamaril (S1) and explained purpose of inspection. Administrator, Norman Barrios came after short while and assisted LPA with today's visit. The facility is an ARF that is vendorized through Alta California Regional Center. There are 6 clients who reside at the home. During today's visit, 2 clients were present and 4 were at their respective day program locations.

LPA and S1 toured the interior and exterior of the facility including the common areas, client bedrooms, client bathrooms, kitchen, laundry area and garage. LPA observed the home to be clean, safe and in good repair. Inside temperature was observed to be 70* F. Fire extinguisher last serviced 02/27/25 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 bathrooms. Smoke/monoxide alarms were in working order. Hot water was measured at 110 degree F in the kitchen which was within required range.

LPA reviewed two (2) client files and two (2) staff files and found the required documentation on file, including staff training. LPA reviewed medications for two (2) clients and found out that facility was using Centrally Stored Log and MAR Records for medications management without any issues.

LPA requested a copy of the LIC500 and current liability insurance to be sent to the Department by 03/31/25.
No deficiencies were observed or cited today per Title 22 ,Regulations from this visit.
Exit interview conducted. A copy of this report was provided.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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