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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002932
Report Date: 01/07/2025
Date Signed: 01/07/2025 02:15:17 PM

Document Has Been Signed on 01/07/2025 02:15 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:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR/
DIRECTOR:		O'FARRELL, KEILAFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(530) 395-1777
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 211CENSUS: 172DATE:
01/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Administrator, Keila O'Farrell
District Operations Support, Darrion Brown		TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On January 7, 2025 at approximately 1:15 PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Hilltop Springs Senior Living for the purpose of conducting a Case Managemen-Incident Inspection. LPA met with the Administrator, Keila O'Farrell and District Operations Support, Darrion Brown.

On January 6, 2025, Community Care Licensing Division (CCLD) received an incident report indicating that a resident fell and sustained a fracture. Administrator will be performing a reappraisal and updating the Care Plan.

No deficiencies were observed or cited during today's Case Management-Incident Inspection. Exit interview was conducted, and a copy of this report was signed and emailed to the Administrator.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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