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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004460
Report Date: 12/21/2021
Date Signed: 12/21/2021 03:22:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:HARMONY HOME CAREFACILITY NUMBER:
347004460
ADMINISTRATOR:JOANNA BROTNEIFACILITY TYPE:
740
ADDRESS:7900 BELLINGRATH DR.TELEPHONE:
(916) 992-6032
CITY:ELVERTASTATE: CAZIP CODE:
95626
CAPACITY:6CENSUS: 0DATE:
12/21/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Joanna Bronei, LicenseeTIME COMPLETED:
03:46 PM
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On December 21,2021 at 3pm, Licensing Program Analyst (LPA) De Anna Williams-Lyons arrived announced to conduct a case management closure. LPA met with the licensee, Joanna Brotnei. The purpose of this visit is to confirm there are no residents living at the facility and to conduct a physical plant inspection. LPA conducted the physical plant inspection and currently there are no residents in care. LPAs advised the Licensee that CCL will close out this facility in the system as of 12/24/2021.
LPAs also advised Licensee that after this facility is closed, should the Licensee want to re-open, a new application is required be submitted.

No deficiencies cited.

The facility's last day will be December 24, 2021.

A final exit interview was conducted and a copy of this report was given to Joanna Brotnei.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: DeAnna Williams-LyonsTELEPHONE: (916) 212-3983
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021
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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