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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002003
Report Date: 02/18/2025
Date Signed: 02/18/2025 12:24:19 PM

Document Has Been Signed on 02/18/2025 12:24 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BROAD HORIZONFACILITY NUMBER:
455002003
ADMINISTRATOR/
DIRECTOR:		HAMPTON, BREEFACILITY TYPE:
775
ADDRESS:465 LAKE BLVDTELEPHONE:
(530) 243-9500
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 30CENSUS: 26DATE:
02/18/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Adminstrator, Bree HamptonTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On February 18, 2025 at approximately 10:30 AM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Kayla Adkison arrived unannounced at Broad Horizon Day Program for the purpose of conducting a Required 1 year inspection. LPAs were greeted at the door by Administrator, Bree Hampton and were granted access into the facility.

LPA and the Administrator toured the facility. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. LPA observed a main area where clients do activities, an art room area, locked toxins room where toxins are stored and isolation room. Clients were observed sitting down for lunch. Fire Extinguisher was found to be last charged in June 2024 at the time of the inspection. All smoke detectors and Carbon Monoxide Detectors sound directly to the local fire jurisdiction. The Local Fire Jurisdiction tested the Smoke and Carbon Monoxide Detectors which the facility will forward that report to CCLD. Water temperature was tested and found to be at 107 degrees within an acceptable range of 105 to 120 degrees. Clients bring their own lunches. Facility has snacks available for clients in care. Cleaning products and other toxins are locked and inaccessible to clients in care. There was a supply of cleaners, hygiene products and paper products available for clients and/or staff. All bathrooms designated for clients in the common areas at the facility were supplied with individual paper towels and hand soap. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 or other infectious diseases are present in the facility. Infection Control Plan was not reviewed due to it being in storage (See LIC 9102-Technical Violation). LPA educated the Administrator on the importance of ensuring that all documents are retained at the facility. LPA reviewed the Emergency Disaster Plan. Emergency Disaster Drill was conducted in January 2025. First Aid Kit was inspected and found to be appropriate during the inspection.

(Report continued on LIC 809C)
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BROAD HORIZON
FACILITY NUMBER: 455002003
VISIT DATE: 02/18/2025
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LPA reviewed 4 staff files and found those to be appropriate during the review. Staff that provide Care and Supervision have valid First Aid/CPR. 5 of 5 client files were reviewed and found to be appropriate during the inspection.

LPA requested the following documents:

LIC 500- Personnel Report
LIC 308- Designation of Facility Responsibility
LIC 309- Administrative Organization
LIC 400-Affidavit Regarding Client Cash Resources
Most up-to-date Liability insurance
Most recent Fire Inspection Report
Control of Property
Register of clients
Most updated Infection Control Plan

No deficiencies were cited during today's Required 1 year inspection. Exit interview was conducted and a copy of this report was signed and given to the Administrator, Bree Hampton.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025
LIC809 (FAS) - (06/04)
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