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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
517003766
Report Date:
12/29/2022
Date Signed:
12/29/2022 12:58:30 PM
Document Has Been Signed on
12/29/2022 12:58 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
CHICO - RESIDENTIAL
,
520 COHASSET RD., STE. 170
CHICO
,
CA
95926
FACILITY NAME:
ROSEWOOD CARE CENTER
FACILITY NUMBER:
517003766
ADMINISTRATOR:
REBECCA MURRAY
FACILITY TYPE:
735
ADDRESS:
1547 PLUMAS COURT
TELEPHONE:
(530) 751-9950
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95991
CAPACITY:
40
CENSUS:
39
DATE:
12/29/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
11:10 AM
MET WITH:
Rebecca Murray
TIME COMPLETED:
01:10 PM
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LPA Hiratsuka conducted this unannounced annual visit. LPA wore a surgical mask and observed all staff wearing surgical masks. LPA was screened at the front desk.
LPA toured the facility with Administrator. The main entrance to the building opens to a reception area. The reception area is shared by this program and Willow Glen Care Center 515001963. From the reception area this program is on the left and the other program is on the right. Both are licensed by Community Care Licensing Division. The do not share any other doors and common areas.
Multiple topics discussed.
No deficiencies cited.
SUPERVISORS NAME
:
Troy Ordonez
LICENSING EVALUATOR NAME
:
Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/29/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/29/2022
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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