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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002835
Report Date: 09/28/2021
Date Signed: 09/28/2021 02:44:50 PM

Document Has Been Signed on 09/28/2021 02:44 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:PREMIER SOLUTIONSFACILITY NUMBER:
455002835
ADMINISTRATOR:LARMOUR, DEBBIEFACILITY TYPE:
775
ADDRESS:2875 CHURN CREEK RDTELEPHONE:
(530) 375-0528
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 35CENSUS: 21DATE:
09/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Sabrina Gill; Program DirectorTIME COMPLETED:
02:45 PM
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On 9/28/21 at 1:10 PM, Licensing Program Analyst (LPA) Cheng conducted an unannounced required 1-year annual inspection and met with Program Director Sabrina Gill. 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 mask and gloves. Additionally, LPA was screened by Program Director Sabrina Gill.

LPA Cheng toured the facility inside and out including but not limited to facility front entrance, computer room, both portion A & B of the facility, facility bathrooms, activity rooms, and facility kitchens. All staff were observed to be wearing surgical masks. Facility entrance is equipped with proper COVID-19 signage and screening station. Facility has a mitigation plan in place should a COVID positive case occur. Facility has sufficient supply of PPE. LPA observed all clients to be socially distanced and wearing surgical masks.

LPA Cheng completed infection control domain and observed no issues or concerns. LPA will e-mail additional infection control posters to add to existing ones in the facility.

Exit interview conducted and a copy of report was provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Pheej Cheng
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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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