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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015601380
Report Date: 03/04/2025
Date Signed: 03/04/2025 02:56:22 PM

Document Has Been Signed on 03/04/2025 02:56 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:ALLSTAR RESIDENCEFACILITY NUMBER:
015601380
ADMINISTRATOR/
DIRECTOR:		BASA, JUDYFACILITY TYPE:
740
ADDRESS:7875 IRONWOOD DRIVETELEPHONE:
(925) 875-1737
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 6CENSUS: 0DATE:
03/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Licensee, Judy BasaTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On 3/4/2025 at 2:15 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee,Judy Basa and explained the purpose of the visit.

LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are currently no residents in care and there are no staff working at the facility. There are no bodies of water observed. The hot water temperature in the residents’ shared bathroom was measured at 112 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/25/2024. Emergency Disaster Plan was last posted on 12/02/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/01/2024.



No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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