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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200842
Report Date: 03/14/2025
Date Signed: 03/14/2025 01:05:12 PM

Document Has Been Signed on 03/14/2025 01:05 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:G.L.O.M. ARF 2FACILITY NUMBER:
019200842
ADMINISTRATOR/
DIRECTOR:		TURNER, ALLENFACILITY TYPE:
735
ADDRESS:1885 WALNUT STREETTELEPHONE:
(925) 583-5555
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 6CENSUS: 5DATE:
03/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Anthony Isbell, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 3/14/2025 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Angela Anderson and explained the purpose of the visit. Program Director, Anthony Isbell arrived an hour later.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, common area, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Hot water was measured at 114.8 degrees F in the hallway bathroom. Fire extinguishers were observed to be full and last serviced on 7/23/2024. One week of nonperishable and 2-day of perishable food supplies were available. There were adequate lights in each room. First Aid kit is complete. Last fire drill was conducted on 3/1/2025. LPA reviewed 5 clients and 4 staff files starting at 9:50AM. LPA reviewed a sample of client's medications during inspection.

No deficiencies are being cited today. Facility was given technical violation.

Exit interview conducted with Anthony Isbell. A copy of this report and technical violation were provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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