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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002675
Report Date: 02/16/2022
Date Signed: 02/16/2022 01:40:18 PM


Document Has Been Signed on 02/16/2022 01:40 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:REDBUD CARE HOMEFACILITY NUMBER:
455002675
ADMINISTRATOR:ENEIX, AUDRAFACILITY TYPE:
740
ADDRESS:920 REDBUD DRTELEPHONE:
(530) 241-8492
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:7CENSUS: DATE:
02/16/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Audra Eneix, Administrator TIME COMPLETED:
10:00 AM
NARRATIVE
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On 02/16/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management Health and Safety visit as directed by the department. LPA met with Audra Eneix, Administrator and explained the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical masks. Additionally, LPA was screened by staff at the front door

LPA toured the facility inside and out including but not limited to seven bedrooms, three bathrooms, dining areas, outside areas, and kitchen area. LPA observed that there was sufficient food in the facility and facility has had some renovations done. The following renovations has been completed included; Bathroom remodeled, bathroom added to back bedroom, added counters, cabinets in the kitchen area, new flooring and painting throughout facility, a wall that has been removed, a wall that was put up between livingroom and a bedroom. . LPA asked Administrator if there was a permit application on the changes to the facility. Administrator reports thare was and she has documentation to LPA. LPA asked about residents in care and where have they been throughout the remodeling process. Admin reports that three of four residents are new and one is from their other facility.



continue on 809-C
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Misty ValenciaTELEPHONE: (530) 895-5820
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: REDBUD CARE HOME
FACILITY NUMBER: 455002675
VISIT DATE: 02/16/2022
NARRATIVE
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LPA requested to see documentation that residents and families have been notified of the movement. Administrator reported that they never provided any documentation regarding the moves and that they have been in contact with all residents and their families verbally. LPA explained to Administrator that LPA will be citing facility regarding, reporting requirements, no fire clearance on renovations, and illegal evictions. Administrator understood and reported that she will contact LPA with any changes to the facility from here on out.

Deficiencies are cited on LIC 809D.

Exit interview conducted and a copy of report along with appeal rights were given
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Misty ValenciaTELEPHONE: (530) 895-5820
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 02/16/2022 01:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926


FACILITY NAME: REDBUD CARE HOME
FACILITY NUMBER: 455002675

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/17/2022
Section Cited

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All facilities shall maintain a fire clearance approved by the city, or county, and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by:
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Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a immedicate health and safety risk to residents in care
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Type B
02/17/2022
Section Cited

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Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by:
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one resident was moved after alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Misty ValenciaTELEPHONE: (530) 895-5820
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4


Document Has Been Signed on 02/16/2022 01:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926


FACILITY NAME: REDBUD CARE HOME
FACILITY NUMBER: 455002675

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/17/2022
Section Cited

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Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the...This requirement is not met as evidenced by
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Based on LPA observation, licensee did not inform that facilty was reopened and took in four residents without fire inspection completed. This poses an as a immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Misty ValenciaTELEPHONE: (530) 895-5820
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4