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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
486803242
Report Date:
11/10/2022
Date Signed:
11/10/2022 10:58:34 AM
Document Has Been Signed on
11/10/2022 10:58 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
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
BRIGHTON CARE HOME
FACILITY NUMBER:
486803242
ADMINISTRATOR:
SADDI, EILEEN
FACILITY TYPE:
740
ADDRESS:
196 BRIGHTON CIRCLE
TELEPHONE:
(707) 451-7288
CITY:
VACAVILLE
STATE:
CA
ZIP CODE:
95687
CAPACITY:
6
CENSUS:
0
DATE:
11/10/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
10:10 AM
MET WITH:
Eileen Saddi
TIME COMPLETED:
11:05 AM
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Licensing Program Analyst (LPA) Walters arrived at the home for the purpose of conducting a closure inspection pursuant to voluntary closure of this licensed Residential Care Facility for the Elderly. LPA arrived and was allowed in by the current owner. Administrator/Licensee Eileen Saddi arrived later. At the time of inspection there were no residents in care. The Licensee/ Administrator no longer has control of the property. The current owner allowed LPA and Administrator to tour the home to ensure that there were no residents.
LPA inspected the rooms and the exterior of the building today and found no evidence that would suggest that any resident/client are residing on the premises. All clothing and personal items belonging to clients have also been removed. Residents have been moved to another licensed facility. Administrator was able to provide LPA proof.
The Licensee initiated this facility closure On 08/18/2022 LPA Walters was notified by Licensee/Administrator about their plan to close the facility. Closure of this facility has been finalized. Facility closure is effective 11/11/22. Licensee provided LPA with the Original copy of the license.
No deficiencies cited during today's visit.
SUPERVISOR'S NAME:
Hope DeBenedetti
TELEPHONE:
(707) 588-5059
LICENSING EVALUATOR NAME:
Katrina Walters
TELEPHONE:
(707) 588-5057
LICENSING EVALUATOR SIGNATURE:
DATE:
11/10/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/10/2022
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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