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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002744
Report Date: 07/29/2024
Date Signed: 07/29/2024 12:24:48 PM


Document Has Been Signed on 07/29/2024 12:24 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:HORIZON ET AL, LLCFACILITY NUMBER:
455002744
ADMINISTRATOR:LAWSON, STEPHENFACILITY TYPE:
740
ADDRESS:1023 GREENBRIAR CTTELEPHONE:
(530) 227-5020
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:6CENSUS: 2DATE:
07/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Caregiver, Rebekah Alvarez
Administrator, Stephen Lawson		TIME COMPLETED:
12:30 PM
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On July 29, 2024 at approximately 11:30 AM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Sarah Benson arrived unannounced for the purpose of conducting a Case Management-Other inspection. Upon arrival, LPAs were greeted at the door by Caregiver, Rebekah Alvarez and was granted access into the facility. Administrator, Stephen Lawson arrived 30 minutes later.

During the Case Management-Other inspection, LPAs reviewed the Guardian Background Clearance List and observed that the Caregiver is not associated to the facility. The Caregiver is background cleared but was never associated to the facility. LPA educated the Licensee and the Caregiver regarding the importance of transferring ALL individuals that have been Eligible/Cleared to work in the facility (See LIC 9102-Technical Violation).

No deficiencies were cited during today's Case Management-Other inspection. Exit interview was conducted and a copy of this report was emailed to the Licensee.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 202-0832
LICENSING EVALUATOR NAME: Farhaan SarangiTELEPHONE: (916) 307-0474
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2024
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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