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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
585000698
Report Date:
01/05/2023
Date Signed:
01/05/2023 10:35:55 AM
Document Has Been Signed on
01/05/2023 10:35 AM
- 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:
PRESTIGE ASSISTED LIVING AT MARYSVILLE
FACILITY NUMBER:
585000698
ADMINISTRATOR:
BRANDY STRAHL
FACILITY TYPE:
740
ADDRESS:
515 HARRIS STREET
TELEPHONE:
(530) 749-1786
CITY:
MARYSVILLE
STATE:
CA
ZIP CODE:
95901
CAPACITY:
72
CENSUS:
45
DATE:
01/05/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Brandy Strahl
TIME COMPLETED:
10:45 AM
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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.
This facility has a fire clearance for 72 non-ambulatory with six whom may be bedridden. The main entrance opens to a small foyer that leads to the main front area of the facility. There are administration offices to the left of the main entrance. There is a memory care unit with delayed egress and its own courtyard. This is a two-story building.
Multiple topics were discussed.
No deficiencies cited.
SUPERVISOR'S NAME:
Troy Ordonez
TELEPHONE:
(916) 263-4832
LICENSING EVALUATOR NAME:
Kerry Hiratsuka
TELEPHONE:
(916) 591-0210
LICENSING EVALUATOR SIGNATURE:
DATE:
01/05/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/05/2023
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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