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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002932
Report Date: 10/13/2023
Date Signed: 10/13/2023 03:24:04 PM


Document Has Been Signed on 10/13/2023 03:24 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:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR:OLSON, DENISEFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(503) 391-9999
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:211CENSUS: 33DATE:
10/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Heather Newcom General ManagerTIME COMPLETED:
03:30 PM
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Amended Report for 9099 dated 08-24-23.
On 10-13-23, Licensing Program Analyst LPA met with Heather Newcom general manager to discuss the amended report 9099 dated 08-24-23..

LPA Sarah Benson ask Health Newcom about keeping residents safe while leaving laundry soap available to residents in care. Heather Newcom stated the facility will keep the laundry soap in a locked area for the health and safety of residents in care.
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Sarah BensonTELEPHONE: 530-895-5033
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2023
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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