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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525920151
Report Date: 02/10/2025
Date Signed: 02/10/2025 01:44:21 PM

Document Has Been Signed on 02/10/2025 01:44 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:SENTINELFACILITY NUMBER:
525920151
ADMINISTRATOR/
DIRECTOR:		PHELPS, ASHELYFACILITY TYPE:
735
ADDRESS:22870 TUSCAN AVENUETELEPHONE:
(530) 200-2909
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 4CENSUS: 2DATE:
02/10/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Ashley Phelps - licenseeTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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02/10/2025 12:50 PM Licensing Program Analyst (LPA) Rebecca Knight conducted a unannounced health & safety visit to the facility. LPA met with care staff Ashley Burnett and explained the purpose of the visit was to follow-up on the status of the clients who live in the home after the facility partially flooded due to recent rain storms.

The facility had partially flooded last week due to a rainstorm. The licensee submitted a plan to retain the clients in the portion of the facility that was not affected by the storm. The portion of the facility that was affected was to be walled off so the clients cannot access this part of the home until flood mitigation and construction have been completed.

LPA verified that the affected portion of the facility has been walled off. LPA verified that flood water mitigation is actively occurring in the affected portion of the facility. LPA verified that clients have bedrooms, access to bathrooms, kitchen and common areas of the facility.

No deficiencies are being cited as a result of today’s visit. A copy of the report was provided to licensee Ashley Phelps.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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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