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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804139
Report Date: 08/26/2024
Date Signed: 08/26/2024 11:22:28 AM

Document Has Been Signed on 08/26/2024 11:22 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/
DIRECTOR:		HALL, ELIZABETHFACILITY TYPE:
735
ADDRESS:2251,2261,& 2271 S WATNEY WAYTELEPHONE:
(530) 758-2160
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 32CENSUS: DATE:
08/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Wendi Counta, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 08/26/2024, Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a case management inspection due to an incident regarding a fire on the premises.

On 8/23/2024 it was reported that a small fire resulted on 08/21/2024 due to a resident flicking a cigarette out the back gate which sparked a small fire on some dry vegetation. A nearby food truck operator used a fire extinguisher to put out the flames. The facility enacted their emergency fire protocols and exited the building and called 911, and everyone vacated the buildings until the fire department gave the all clear. There was no damage to the facility or grounds.

LPA and Program Director Wendi Counta inspected the facility and its exterior. The facility was found to be clean and a comfortable temperature. LPA found a designated smoking area with plenty of seating and shade. There is a tall cigarette disposal unit which residents are to use to extinguish their cigarettes. The area is clearly marked and residents are instructed in its use upon move-in. The area is covered by video surveillance and it was clear to staff upon review of the video what occurred. The residents were re-educated on the proper use of the smoking area and cautioned about the risks of improper cigarette disposal.

LPA found no deficiencies at the time of inspection. No citations issued.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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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