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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002476
Report Date: 01/23/2025
Date Signed: 01/23/2025 11:43:29 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/23/2025 11:43 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:OASIS RESIDENTIAL PROGRAM-WESTFACILITY NUMBER:
455002476
ADMINISTRATOR/
DIRECTOR:		ZIKAN, RODNEYFACILITY TYPE:
735
ADDRESS:16625 HWY 299 WESTTELEPHONE:
(530) 524-6684
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY: 4CENSUS: 0DATE:
01/23/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Joel Dooley - AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 1-23-25 Licensing Program Analyst (LPA) Sarah Benson met with Joel Dooley - Administrator to conducted unannounced Required 1 Year Annual Inspection Visit. LPA explained purpose of the visit with Administrator.

The property burnt down in the July 2018 in the 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 was left with administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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