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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200873
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:54:18 PM


Document Has Been Signed on 11/30/2023 03:54 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:POINT AT ROCKRIDGE, THEFACILITY NUMBER:
019200873
ADMINISTRATOR:KNOX, KATHLEEN LFACILITY TYPE:
740
ADDRESS:4500 GILBERT STREETTELEPHONE:
(510) 658-9266
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:186CENSUS: 127DATE:
11/30/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
10:29 AM
MET WITH:Stephanie Brice, AdministratorTIME COMPLETED:
04:10 PM
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On 11/30/23 Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator (ADM) and explained the purpose of the visit. There are currently 7 residents from VTB residing at this facility.

During the visit, LPA toured the facility including but not limited to the 6 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 5 out of 7 residents. All residents expressed that they had all the supplies they need at this time. ADM reported that the VTB residents are tentatively scheduled to return to VTB in December 2023.

Food, staffing and hygiene supplies were all observed to be adequate during visit.

There were no imminent health/safety concerns on today's date.

No deficiencies cited during visit. Exit interview conducted and copy of this report provided.
SUPERVISOR'S NAME: Yvonne Flores-LariosTELEPHONE: (510) 286-0517
LICENSING EVALUATOR NAME: Gregory ClarkTELEPHONE: 510-285-3927
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2023
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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