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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201187
Report Date: 08/18/2022
Date Signed: 08/18/2022 01:52:31 PM


Document Has Been Signed on 08/18/2022 01:52 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612



FACILITY NAME:HOPE SENIOR ESTATESFACILITY NUMBER:
019201187
ADMINISTRATOR:FRENTI, TATIANAFACILITY TYPE:
740
ADDRESS:417 COLUSA WAYTELEPHONE:
(925) 549-7843
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:6CENSUS: 0DATE:
08/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Tatiana Frenti, Administrator/Licensee
Ruben Frenti, Licensee		TIME COMPLETED:
02:00 PM
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On 8/18/2022 at 12:30PM, Licensing Program Analysts (LPAs) G. Luk and P. Watson conducted a face to face Component III presentation. LPAs met with Licensee(s), Tatiana Frenti and Ruben Frenti.

LPA presented Component III power point and discussed the regulations embodied in the presentation. LPAs observed Licensee/Administrator gained knowledge about running and maintaining the facility in accordance with Title 22 regulations.

LPA concluded Component III.

Exit interview conducted and a copy of this report provided.

SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Grace LukTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022
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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