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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803958
Report Date: 06/30/2021
Date Signed: 06/30/2021 03:28:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:REDWOOD SANTA ROSAFACILITY NUMBER:
496803958
ADMINISTRATOR:CARDENAS, CRISANTEFACILITY TYPE:
740
ADDRESS:1727 BURBANK AVETELEPHONE:
(707) 542-1940
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:26CENSUS: DATE:
06/30/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Anthony Barbato (Licensee)TIME COMPLETED:
02:45 PM
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A Tele-Conference was conducted today due to Covid-19 precautions. Present in the meeting were Anthony Barbato (Licensee), Pam Gill (Assistant Program Administrator), Carla Nuti-Martinez (Regional Manager), Bethany Moellers (Licensing Program Manager) and Marisol Cuadra (Licensing Program Analyst).

This Conference is being conducted via Tele Visit to discuss repairs and inspections to water, sewage and rodent control at the facility Redwood Santa Rosa # 496803958. Residents were temporarily relocated to a licensed facility Arbol Residences of Santa Rosa #496803905 due to city order. Today, City of Santa Rosa conducted an inspection which revealed new information regarding the water system and additional recommended repairs were informed to Anthony Barbato.



Licensee agreed to submit three written plans to CCL addressing long term plan for relocated residents until repopulation at Burbank Ave is granted. Licensee agreed to submit plans by 2pm, 7/1/2021.

Licensee was advised to continue actively communicating with residents, responsible parties, CCL and Long Term Ombudsman.
SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol CuadraTELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2021
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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