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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002835
Report Date: 09/12/2022
Date Signed: 09/12/2022 11:24:59 AM

Document Has Been Signed on 09/12/2022 11:24 AM - 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,
, CA
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: 16DATE:
09/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Amber Shouse - Program DirectorTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced Required 1- Year Annual Inspection Visit and met with Program Director. 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. 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 toured facility with program director. The facility offers seven classrooms, including a computer room, three bathrooms, two kitchens and office space. There is a patio area on the side of the building for use by clients. The facility is clean and in good repair, and has a locked storage area for cleaning supplies, disinfectants, and poisons. The facility has an area for staff and client records, first aid supplies, and a telephone. The facility provides a separate room for use by ill clients. The facility has an emergency disaster plan on site and it is posted near the exit. Snacks are made available to clients during the day and the facility serves lunches on Friday. Hot water temperature was measured at 113.4 degrees Fahrenheit in bathroom sink, which is within the required range of 105 to 120 degrees. LPA was able to review a current Fire extinguishers inspected 2/7/22 and smoke detectors are operational. LPA observed carbon monoxide detectors in the facility. Fire drill was conducted on 9/8/22. The facility has functioning smoke alarms and carbon monoxide detectors. The fire marshal has approved the fire safety inspection request.

LPA reviewed 4 client and 3 staff files, including criminal record clearances. The first aid kit was checked and is complete.
No deficiencies cited per California Code of Regulations, Title 22.
Exit interview conducted and a copy of report was provided to program director.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Ruth Wallace
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2022
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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