<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 587003700
Report Date: 11/02/2022
Date Signed: 11/02/2022 03:07:12 PM

Document Has Been Signed on 11/02/2022 03:07 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:GUANZON RESIDENTIAL CAREFACILITY NUMBER:
587003700
ADMINISTRATOR:GUANZON, LORENAFACILITY TYPE:
735
ADDRESS:5546 TRAILHEAD LOOPTELEPHONE:
(530) 751-7532
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY: 6CENSUS: 5DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Lorena GuanzonTIME 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 annual visit. LPA wore a surgical mask and observed staff wearing surgical masks.

The main entrance opens into a small common area on the left and a the kitchen and main common are to the right. There is a hallway to the left of the main entrance that leads to three shared resident rooms, one staff room that has a full private bathroom, a full common bathroom, and a laundry room that has a door to the garage. The main common area has a sliding door to the backyard. The gate is on the same side as the garage. There are locked cabinets for cleaning toxins and medications.

Several topics were discussed.

No deficiencies cited.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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