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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200189
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:46:12 PM

Document Has Been Signed on 01/24/2024 02:46 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, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:CARE ADMINISTRATION AND MGMT. PROFESSIONALS, INC.FACILITY NUMBER:
019200189
ADMINISTRATOR:ELIZABETH DELATORREFACILITY TYPE:
775
ADDRESS:6805 SIERRA COURT, SUITE ATELEPHONE:
(925) 560-0124
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 54CENSUS: 43DATE:
01/24/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Karina Gonzelaz, Floor Manager TIME COMPLETED:
03:00 PM
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On 1/24/2024 at 1:00PM, Licensing Program Analysts (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Floor Manager, Karina Gonzelaz and explained the purpose of the visit. Karina phoned Elva DeLaTorre, Director Administrator to ask for verbal permission for Karina to sign the report.

The required annual inspection is incomplete and LPA will return to complete inspection at a later date.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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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