Facility Evaluation Report, 04/01/2025 — Green Field Haven, North Highlands CA

Facility Evaluation Report

Green Field Haven, North Highlands04/01/2025Licence 347003494

Capacity6

Census5

Date signed04/01/2025 02:13:51 PM

Name of licensing program analystCassie Yang

Name of licensing program managerAnthony Perez

The inspector’s account

On April 1, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit regarding the deficiencies observed during annual inspection. LPA met with Licensee and explained the purpose of the visit.

Based on file review, it revealed Tenant 1 (T1) has been residing at the facility since November 2024. File review revealed T1’s criminal clearance is “in process”. LPA explained to Licensee that all background checks need to be cleared prior to the individual working, volunteering and/or residing at the facility.

Licensee is to contact Care Provider Management Bureau (CPMB) at:

Deficiencies cited . Please see LIC 809-D.

Exit interview conducted and a copy of the report and appeal rights was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction