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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004242
Report Date: 02/09/2022
Date Signed: 02/09/2022 12:00:47 PM

Document Has Been Signed on 02/09/2022 12:00 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:A GARDEN OF PARADISE CARE HOMEFACILITY NUMBER:
347004242
ADMINISTRATOR:OKSANA DOLDIERFACILITY TYPE:
740
ADDRESS:7789 SPENCER LANETELEPHONE:
(916) 878-9811
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 6CENSUS: 4DATE:
02/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator, Oksana DoldierTIME COMPLETED:
12:15 PM
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Licensing Program Analysts (LPA) Talwinder Bains and Michael Hood arrived at the facility unannounced on 02/9/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPAs met with administrator, Oksana Doldier, and explained the purpose of the visit. Prior to initiating the annual inspection, LPAs completed required COVID-19 testing protocols, and self-screened for symptoms of COVID-19. LPAs wore the following Personal Protective Equipment (PPE) during today's visit: N-95 masks.

LPAs and administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms, two (2) resident bathrooms, garage, backyard, and storage. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPAs and administrator completed the infection control domain together and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of today's inspection.
Exit interview conducted and copy of report left at the facility.













SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2022
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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