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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502700737
Report Date: 08/26/2021
Date Signed: 08/26/2021 01:57:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:PARAMOUNT COURT SENIOR LIVINGFACILITY NUMBER:
502700737
ADMINISTRATOR:MONTELLANO, ANTHONYFACILITY TYPE:
740
ADDRESS:3791 CROWELL ROADTELEPHONE:
(209) 664-9500
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:100CENSUS: 71DATE:
08/26/2021
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Executive Director, Anthony MontellanoTIME COMPLETED:
02:15 PM
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Licensing Program Analysts (LPA) Jason Lund arrived made an unannounced visit to the facility to conduct an Annual Inspection. LPA met by Executive Director, Anthony Montellano.

LPA and Executive Director toured the Facility. Exterior of building was in good condition. Buildings and landscaping well kept. The facility has three wings all on one floor.

Kitchen had required 7 days of non-perishable food and 2 days of perishable food. The kitchen was in a neat and organized condition. An alternate meal option is available to residents.

The facility met the following standards for fire safety. Each room contains a smoke detector and carbon monoxide detector. Fire extinguisher observed met inspection guidelines.

No deficiencies were observed during the visit. Exit interview was conducted with Anthony Montellano. A copy of this report was provided.
SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Jason LundTELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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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