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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002476
Report Date: 03/28/2024
Date Signed: 03/28/2024 01:50:58 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/28/2024 01:50 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:OASIS RESIDENTIAL PROGRAM-WESTFACILITY NUMBER:
455002476
ADMINISTRATOR:ZIKAN, RODNEYFACILITY TYPE:
735
ADDRESS:16625 HWY 299 WESTTELEPHONE:
(530) 524-6684
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY: 4CENSUS: 0DATE:
03/28/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Joel Dooley - AdministratorTIME COMPLETED:
02:10 PM
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On 3-28-24 Licensing Program Analyst (LPA) Sarah Benson met with Joel Dooley - Administrator to conducted unannounced Required 1 Year Annual Inspection Visit. LPA explained purpose of visit with Administrator. The property burnt down in the July 2018 Carr Fire. Administrator stated the Licensee may rebuild on the property in the future.

No deficiencies were cited during today's visit

Exit interview conducted and a copy of report left with administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
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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