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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002786
Report Date: 04/13/2023
Date Signed: 04/13/2023 12:23:26 PM


Document Has Been Signed on 04/13/2023 12:23 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, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833



FACILITY NAME:OAKDALE HEIGHTS OF REDDINGFACILITY NUMBER:
455002786
ADMINISTRATOR:BOBAN, KRISTINEFACILITY TYPE:
740
ADDRESS:101 QUARTZ HILL RDTELEPHONE:
(530) 241-6047
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:85CENSUS: 62DATE:
04/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Kristine BobanTIME COMPLETED:
12:34 PM
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Licensing Program Analysts (LPA)s Ivan Avila and Kerry Hiratsuka arrived at the facility unannounced on 4/13/23 to conduct a Annual Inspection. LPAs met with Administrator Kristine Boban and explained the purpose of the visit.

LPAs toured the interior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, 6 resident bedrooms, bathroom, kitchen, laundry room, and medication room. In the areas toured no immediate health, safety, or personal rights violations were observed.

Resident care needs appear to be met.

LPAs reviewed Staff training and reviewed 6 Resident files.

Several topics were discussed.

No deficiencies are being cited.

Exit interview conducted and copy of report left at the facility.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Kerry HiratsukaTELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2023
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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