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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 011405838
Report Date: 01/02/2025
Date Signed: 01/02/2025 05:50:50 PM

Document Has Been Signed on 01/02/2025 05:50 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:ABLELIGHT, INC - MOWRYFACILITY NUMBER:
011405838
ADMINISTRATOR/
DIRECTOR:
CHRISTINA O QUINTANAR-SANCFACILITY TYPE:
735
ADDRESS:1335 MOWRY AVETELEPHONE:
(510) 505-1245
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 12CENSUS: 12DATE:
01/02/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:45 PM
MET WITH:Tsion Haile Mogesse, Administrator TIME VISIT/
INSPECTION COMPLETED:
06:10 PM
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On 01/02/2025 at 5:45 PM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla conducted an unannounced case management visit regarding a self reported alleged sexual abuse allegation that occured on 12/31/2024. Administrator self reported the incident to CCLD on 01/01/2025. LPAs met with Administrator, Tsion Haile Mogesse, and explained the purpose of the visit.

LPA interviewed C1 and Administrator. LPA will request the following documents such as C1's Physician's Report and IPP. The documents will be due on 01/21/2025.

The incident was reported to Fremont Police Department and is still under investigation. Once investigation is completed, LPAs will have to come back.


Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
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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