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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002199
Report Date: 08/16/2021
Date Signed: 08/16/2021 11:22:15 AM

Document Has Been Signed on 08/16/2021 11:22 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:SCS LOREN ROBINSON CENTERFACILITY NUMBER:
455002199
ADMINISTRATOR:CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:900 B TWIN VIEW BLVD.TELEPHONE:
(530) 247-8324
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 60CENSUS: 13DATE:
08/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Stacey Stowe, supervisorTIME COMPLETED:
11:30 AM
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8/16/2021 10:15 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain,.LPA met with supervisor Stacey Stowe 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, gloves. Additionally, LPA Knight was screened by supervisor Stacey Stowe.

LPA Knight and Ms. Stowe toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, bathrooms, isolation room, and storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Knight and the supervisor 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. Technical assistance was provided.

Exit interview conducted and copy of report was given to supervisor Stacey Stowe.
SUPERVISORS NAME: Rayna L Bryson
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2021
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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