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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804191
Report Date: 01/02/2025
Date Signed: 01/02/2025 12:40:21 PM

Document Has Been Signed on 01/02/2025 12:40 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:FARMSTEAD AT DIXON, THEFACILITY NUMBER:
486804191
ADMINISTRATOR/
DIRECTOR:
MARK REYESFACILITY TYPE:
740
ADDRESS:350 GATEWAY DRIVETELEPHONE:
(707) 676-5060
CITY:DIXONSTATE: CAZIP CODE:
95620
CAPACITY: 96CENSUS: 51DATE:
01/02/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Mark Reyes, AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection of the Farmstead at Dixon on 01/02/2024 and met with Administrator Mark Reyes.

LPA toured the facility and found the large common area at the entrance to be warm and inviting. There was ample space for visitors and residents to socialize, including a screened fireplace, an ice cream bar and pizzeria. The dining room provides table service for 3 meals a day. The Memory Care unit appeared clean and comfortably furnished, with activities available throughout the day. Residents provide their own furniture, but each room inspected had the required furnishings. Assisted Living residents also provide their own furniture; rooms reflecting the interests of the individual. The facility provides activities daily, including exercise, outings and Bingo. Water temperature measured within 105 - 120 degrees F as required in Title 22 in rooms inspected. The kitchen was found to be clean and sanitary with an ample supply of perishable and non-perishable foods. The facility has a movie theatre for resident use. A tour of the outside of the facility found the grounds to be well-maintained and walkways to be free of obstructions.

There were no citations issued during today's inspection.

LPA will return at a later date to complete inspection due to Administrator's illness.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/02/2025
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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