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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804139
Report Date: 02/23/2023
Date Signed: 02/23/2023 08:27:54 AM

Document Has Been Signed on 02/23/2023 08:27 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:SOLANO HOUSEFACILITY NUMBER:
486804139
ADMINISTRATOR:HALL, ELIZABETHFACILITY TYPE:
735
ADDRESS:2251,2261,& 2271 S WATNEY WAYTELEPHONE:
(530) 758-2160
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 32CENSUS: 0DATE:
02/23/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Administrator, Elizabeth HallTIME COMPLETED:
08:45 AM
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Licensing Program Analyst (LPA), Farhaan Sarangi arrived announced at Solano House and met with Elizabeth Hall, who will be the Administrator when the facility is approved for licensure. The purpose of this subsequent Pre-licensing inspection is to confirm the following were corrected per regulation:

· Facility signal system per regulation - 85088 (f)(1)(A-C) Fixtures, Furniture, Equipment and Supplies

· The quantity of linen supply per regulation (blankets, bedspreads, top/bottom bed sheets, pillow cases, mattress pads, rubber sheeting, bath/hand towels, and washcloths) - 85088 (c)(4)(A) Fixtures, Furniture, Equipment and Supplies

· Shaded area for outdoor activity - 85087.2 Outdoor Activity Space




Pre-licensing is complete with no corrections needed.
The Component III Orientation was completed on 02/13/2023. LPA will submit the pre-licensing reports to Application Unit Analyst in Sacramento; Application Unit Analyst will notify applicant of application status.

No deficiencies cited during this inspection. Exit interview was conducted and a copy of this report was signed and given to the Administrator.
SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2023
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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