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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455001980
Report Date: 12/15/2021
Date Signed: 12/16/2021 07:48:12 AM

Document Has Been Signed on 12/16/2021 07:48 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:NEW EXPRESSIONS CENTERFACILITY NUMBER:
455001980
ADMINISTRATOR:BETTENCOURT, KAYLAFACILITY TYPE:
775
ADDRESS:2837 BECHELLI LANETELEPHONE:
(530) 224-3448
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 45CENSUS: DATE:
12/15/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Kayla Bettencourt, AdministratorTIME COMPLETED:
11:45 AM
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On !2/15/2021 11:30 AM Licensing Program Analysts (LPA) Misty Valencia arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Kayla Bettencourt, Administrator and Operation Supervisor Katie Winterburn and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask, Additionally, LPA was screened by staff at the front door.

LPA, Ms. Bettencourt and Ms. Winterburn toured the facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, two (2) bathrooms, isolation room, and the kitchen. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, Ms. Winterburn, and Ms Bettencourt completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report was emailed to Ms. Grant.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2021
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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