<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
515000683
Report Date:
11/14/2024
Date Signed:
11/14/2024 03:04:47 PM
Document Has Been Signed on
11/14/2024 03:04 PM
- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
COURTYARD, THE
FACILITY NUMBER:
515000683
ADMINISTRATOR/
DIRECTOR:
BRANDY STRAHL
FACILITY TYPE:
740
ADDRESS:
1240 WILLIAMS WAY
TELEPHONE:
(530) 790-3050
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95991
CAPACITY:
80
TOTAL ENROLLED CHILDREN:
0
CENSUS:
56
DATE:
11/14/2024
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:
Brandy Strahl
TIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LPA Hiratsuka conducted this unannounced case management visit. This is in response to the facility submitting a death report. LPA obtained a copy of some documents from the resident's file.
No deficiencies cited.
Troy Ordonez
TELEPHONE:
(916) 263-4700
Kerry Hiratsuka
TELEPHONE:
(916) 591-0210
DATE:
11/14/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
1