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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002633
Report Date: 07/30/2020
Date Signed: 07/30/2020 11:23:08 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:A TOUCH OF HEAVENFACILITY NUMBER:
455002633
ADMINISTRATOR:PRATHER, SARAHFACILITY TYPE:
740
ADDRESS:760 KERRYJEN CTTELEPHONE:
(530) 226-5052
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:28CENSUS: 24DATE:
07/30/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sarah Prather; AdministratorTIME COMPLETED:
12:00 PM
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On 7/30/2020 at 10 AM, Licensing Program Analyst (LPA) Cheng conducted an unannounced telephone call regarding a Case Management Health and Safety Check and spoke to Administrator Sarah Prather. A telephone call was made in compliance with the departments procedures regarding COVID-19. LPA toured the facility inside and out including but not limited to facility kitchen, hallways, outside area, dining areas, bathrooms, and resident rooms. Medications are centrally stored in a locked cabinet in a locked room that is inaccessible to residents. Hot water temperature in hallway bathroom measured at 120 degrees Fahrenheit. Facility has a 7-day non-perishable and 2-day perishable supply of food. Facility refrigerator measured at 37 degrees Fahrenheit and freezer measured at 0 degrees Fahrenheit. Outside area is free of obstruction and bodies of water. Facility has ample supply of PPE and has proper posters posted throughout the facility.

Smoke and carbon monoxide detectors were observed as operational. Fire extinguisher was observed as full. First aid kit was observed as complete.

No deficiencies were observed and exit interview was conducted.

Two copies of report was e-mailed to Administrator and LPA requested for a signed copy to be returned.
SUPERVISOR'S NAME: Julio MontesTELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Pheej ChengTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2020
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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