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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200189
Report Date: 01/26/2024
Date Signed: 01/26/2024 12:55:01 PM

Document Has Been Signed on 01/26/2024 12:55 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: 44DATE:
01/26/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Elva Delatorre, Program Director TIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) K. Nguyen arrived unannounced for 1-Year Annual Inspection on this date starting at 9:45am. Upon arrival, LPA met with Program Director, Elva Delatorre. The day program is open from Monday thru Friday, 8:30am - 2:30pm.

LPA toured physical plant with Program Director, Elva Delatorre including but not limited to, multiple activity rooms, 2 kitchen, bathrooms, office space, and the outside area. Clients bring their own lunches and snacks. Emergency supplies were observed. The hot water temperature in the client bathroom measured 106.8 degrees Fahrenheit. Cleaning supplies are locked and inaccessible to clients. Medications are handled for 2 clients. There are no bodies of water or fire safety hazards observed. Restrooms are maintained in safe and in sanitary operating condition, and additional equipment for the physically handicapped was observed. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 4 vans, and maintenance log were reviewed. LPA reviewed 5 client and 5 staff records Emergency disaster drills was last conducted on 12/11/2023. Fire extinguishers throughout facility were last inspected 11/3/2023. First aid kit was checked.

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: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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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