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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201160
Report Date: 07/03/2024
Date Signed: 07/03/2024 02:52:12 PM

Document Has Been Signed on 07/03/2024 02:52 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:REAMER RESIDENCEFACILITY NUMBER:
019201160
ADMINISTRATOR/
DIRECTOR:		LAKANDULA, IRENALDFACILITY TYPE:
735
ADDRESS:18039 REAMER ROADTELEPHONE:
(510) 674-9229
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 4CENSUS: 4DATE:
07/03/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:38 PM
MET WITH:Manuel CalaraTIME VISIT/
INSPECTION COMPLETED:
03:05 PM
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On 7/3/2024 at 12:38 PM, Licensing program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Manuel Calara (staff) and explained the purpose of the visit. Administrator, Irenald Lakandula was not able to be present due to illness.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature for clients is maintained at 68 degree F. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients bathroom was measured at 111 degree F. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. The is is a minimum of one-week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 04/04/2024. Emergency disaster plan was last posted on 10/20/2022. First aid kit was observed to be complete. Fire drills was last conducted on 05/31/2024.

At 1:08 PM, client medications were reviewed. At 1:45 PM LPA reviewed 4 clients and 5 staff records, and all were complete.

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.






SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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