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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002663
Report Date: 01/11/2023
Date Signed: 01/11/2023 05:08:21 PM

Document Has Been Signed on 01/11/2023 05:08 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:CURTIS HOMESFACILITY NUMBER:
455002663
ADMINISTRATOR:SCHWARTZ, HEATHERFACILITY TYPE:
735
ADDRESS:5038 HUNTINGTON DRIVETELEPHONE:
(530) 364-2905
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 4CENSUS: 4DATE:
01/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:55 PM
MET WITH:Caregivers Brenda Picetti and Rokaya Ridley and Administrator Jacob NussTIME COMPLETED:
05:15 PM
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LPA Hiratsuka conducted this unannounced annual visit. LPA wore a surgical mask and observed all staff wearing mask. Administrator Jacob Nuss, arrived during visit.

The front door opens to a small foyer. There is a hallway on the right of the main entrance that leads to three resident rooms and one full common bathroom. One of the resident rooms in the hallway has a full private bathroom. There is an office in front of the main entrance. In the back of the facility is a common and dining room, and to the left of the first common area is the kitchen and main sitting area. In the backyard there is another resident room that has a kitchenette and full private bathroom.

Several topics were discussed.

No deficiencies cited.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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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