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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201183
Report Date: 10/14/2022
Date Signed: 10/14/2022 05:11:10 PM


Document Has Been Signed on 10/14/2022 05:11 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:SWEET CARE HOME IN UNION CITYFACILITY NUMBER:
019201183
ADMINISTRATOR:YALUNG, ELAINEFACILITY TYPE:
740
ADDRESS:32506 KAREN CTTELEPHONE:
(510) 487-2953
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:6CENSUS: 5DATE:
10/14/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Elaine Yalung/Applicant-AdministratorTIME COMPLETED:
05:10 PM
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Licensing Program Analyst (LPA) Delmundo conducted an announced Component III Training via Teams Meeting. Component III was attended by Elaine Yalung, applicant-administrator.

LPA Delmundo presented the training via Power Point presentation and had a discussion with Elaine Yalung.

Exit interview conducted and copy of this report provided at the conclusion of the training.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) 622-2621
LICENSING EVALUATOR NAME: Alicia DelmundoTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2022
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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