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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
455002633
Report Date:
12/15/2022
Date Signed:
12/15/2022 12:28:29 PM
Document Has Been Signed on
12/15/2022 12:28 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
CHICO - RESIDENTIAL
,
520 COHASSET RD., STE. 170
CHICO
,
CA
95926
FACILITY NAME:
A TOUCH OF HEAVEN
FACILITY NUMBER:
455002633
ADMINISTRATOR:
PRATHER, SARAH
FACILITY TYPE:
740
ADDRESS:
760 KERRYJEN CT
TELEPHONE:
(530) 226-5052
CITY:
REDDING
STATE:
CA
ZIP CODE:
96002
CAPACITY:
28
CENSUS:
16
DATE:
12/15/2022
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
09:15 AM
MET WITH:
Sarah Prather and Tricia Hopper
TIME COMPLETED:
12:40 PM
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LPA Hiratsuka conducted this unannounced case management visit. LPA wore a surgical mask during this visit and observed all staff wearing surgical masks.
This facility reported someone who passed away. The death report didn't have enough details. Facility is waiting for the death certificate. LPA obtained more information and will wait for the death certificate.
LPA conducted an unannounced annual visit today. During the visit a resident climbed over the perimeter fence using outdoor furniture. Resident admitted it. Facility staff are aware the resident normally walks the perimeter of the facility and check on resident on a regular basis. Resident was found and brought back in. Written report is going to be sent to LPA. Administrator stated she is going to work on updated care plan and assessment.
No deficiencies cited.
SUPERVISOR'S NAME:
Troy Ordonez
TELEPHONE:
(916) 263-4832
LICENSING EVALUATOR NAME:
Kerry Hiratsuka
TELEPHONE:
(916) 591-0210
LICENSING EVALUATOR SIGNATURE:
DATE:
12/15/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/15/2022
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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