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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455001791
Report Date: 08/10/2023
Date Signed: 08/10/2023 11:29:36 AM

Document Has Been Signed on 08/10/2023 11:29 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:RIVER VISTA CENTERFACILITY NUMBER:
455001791
ADMINISTRATOR:GRANT, HEATHERFACILITY TYPE:
775
ADDRESS:2880 PARK MARINA DRIVETELEPHONE:
(530) 246-3600
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY: 45CENSUS: 28DATE:
08/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Adminstrator Brianna Lee TIME COMPLETED:
11:40 AM
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On 08/10/2023, Licensing Program Analysts (LPA's) Jaynae Boyles, Kerry Hiratsuka arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA's met with Facility Administrator, Brianna Lee and explained the purpose of the visit.

LPA's Boyles, Hiratsuka and Administrator toured facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas,kitchen, quiet room and common restrooms. LPA's observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary paper towels, trash can with lids and 20-second hand-washing poster.

Hot water temperature was measured at 105 F. LPA's observed three (3) fire extinguishers which were serviced 7/19/2023. Two fire detectors, and one carbon monoxide detectors were observed by the LPA's.

In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA reviewed a total of six (6) client files and seven (7 ) staff files.

Several topics were discussed.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Jaynae Boyles
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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