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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345002815
Report Date: 07/12/2021
Date Signed: 07/12/2021 11:50:04 AM

Document Has Been Signed on 07/12/2021 11:50 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:DANI'S HELPING HANDS, INC.FACILITY NUMBER:
345002815
ADMINISTRATOR:HAZZIEZ, DANIELLEFACILITY TYPE:
740
ADDRESS:108 REMINGTON DR.TELEPHONE:
(916) 201-4862
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 6CENSUS: 0DATE:
07/12/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Danielle and Hakim HazziezTIME COMPLETED:
12:00 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
Licensing Program Analyst (LPA) K. Hiratsuka, arrived at the facility announced on 07/12/2021 to conduct an announced prelicensing visit. This facility is undergoing a change-of-ownership. LPA met with Facility Representatives Danielle and Hakim Hazziez and explained the purpose of the visit. Prior to initiating the prelicensing visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Facility Representative and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Hakim Hazziez.

This facility has a fire clearance for six non-ambulatory residents. The main entrance opens to a small foyer. To the left of the main entrance is a hallway leading to three shared resident rooms and one full common bathroom. The largest shared resident room has an exit to the outside and a full private bathroom. To the right of the main entrance is a common area that also has a door leading to the garage. The garage is used for storage and has the clothes washing and dryer machines. Across the main entrance is a second common area. The kitchen is to the right and in front of the sitting area. The backyard was inspected. There is a gate on both sides of the property. There is also a locked shed on the side opposite the garage. There is a locked cabinet for medications and files

Component III orientation was conducted..

This facility meets regulations. LPA is going to submit this report to the applications specialist.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2021
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