HomeMy WebLinkAboutRFI16-0164 Heritage House 001State of California
Department of Social Services.
Facility Number: 045001507
Effective Date: 12/22/04 Total Capacity: 15
In accordance with applicable provisions of the Health and Safety Code
of California, and its rules and regulations; the Department of Social
Services hereby issues
his License to
HENN, ELLEN
to operate and maintain a RESIDENTIAL -ELDERLY
Name of Facility
HERITAGE HOUSE
1882 TEHAMA AVENUE
OROVILLE CA 95965
This License is not transferable and is granted solely upon the following:
5 AMBULATORY, 10 NONAMBULATORY, TOTAL CAPACITY OF 15 RESIDENTS, AGES
60 YEARS AND OVER. FACILITY IS APPROVED TO ACCEPT DEMENTIA AND NON-
AMBULATORY RESIDENTS; HOWEVER, MAY ONLY BE HOUSED IN ROOMS #3, #5,
#6, #9 AND #10. HOSPICE WAIVER IS APPROVED FOR ONE (1) RESIDENT.
Client Groups Served: ELDERLY
Complaints regarding services provided in this facility should be
directed to:
CHICO - RESIDENTIAL DISTRICT OFFICE (530) 895-5033
Jo Frederick
Deputy Director, Authorize6 Representative
Community Care Licensing Division of Licensing Agency
LIC 203A (1/04) 1 POST IN A PROMINENT PLACE I APR 0 8 2015 CU-PANA