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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002442
Report Date: 07/26/2023
Date Signed: 07/31/2023 08:14:21 AM


Document Has Been Signed on 07/31/2023 08:14 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:SUNSET COMFORT CARE, INC.FACILITY NUMBER:
455002442
ADMINISTRATOR:HEDAYATTZADEH, SHAUNFACILITY TYPE:
740
ADDRESS:3375 MOUNTAIN OAKS DRIVETELEPHONE:
(530) 247-0707
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:6CENSUS: 6DATE:
07/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator- Shaun HedayattzdehTIME COMPLETED:
04:00 PM
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On 07/26/ 2023, Licensing Program Analysts (LPA's) Jaynae Boyles and Kerry Hiratsuka arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA's met with Administrator Shaun Hedayattzdeh explained the purpose of the visit.
LPA's Boyles, Hiratsuka and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA's observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA's observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors.

Hot water temperature was measured over the regulation temperature. The administrator reported that the facility has a new water heater, which could effect the water temperature. The administrator turned down the water heater and will monitor the temperature regularly and adjust to remain in compliance, which is between 105-120 F. For this reason no deficiency is being cited at todays visit.

LPA's reviewed a total of two (2) residents' files and two (2) staff files.

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

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.

SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae BoylesTELEPHONE: (916) 917-3040
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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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