<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200659
Report Date: 02/26/2025
Date Signed: 02/26/2025 01:40:25 PM

Document Has Been Signed on 02/26/2025 01:40 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:DEAF PLUS ADULT COMMUNITYFACILITY NUMBER:
019200659
ADMINISTRATOR/
DIRECTOR:		NOLD, TERESAFACILITY TYPE:
775
ADDRESS:5437 CENTRAL AVE 4TELEPHONE:
(510) 556-2755
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 30CENSUS: 22DATE:
02/26/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Josiah Cheslik/Teresa NoldTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On this day at around 10:25 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with Josiah Cheslik, and explained the purpose of the visit. Interpreter Ashley Keller was present during the visit. Program Director Teresa Nold arrived at a later time.

During the visit, LPA inspected the facility inside and out including but not limited to common areas, bathrooms, kitchen and separate room for ill clients. Hot water measured at 93.8 degrees Fahrenheit in one of the bathrooms. The day program does not provide food to the clients but have back up food supplies, if needed. Chemicals were observed locked. Smoke detectors and carbon monoxide were tested and observed operational. There a fire extinguishers observed that appeared full and were last serviced on 11/18/2024. The last fire drill was conducted on 2/12/2025.

LPA with the assistance of interpreter Ashley Keller interviewed three clients. LPA reviewed 6 client and 6 staff files. All staff are fingerprint cleared and associated to the facility. They have current first aid, CPR and AED training.

Technical violations were issued for today's visit and need to be corrected by March 14, 2025.

Exit interview was conducted with Nold and a copy of this report was provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3