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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700018
Report Date: 03/19/2026
Date Signed: 03/23/2026 02:55:58 PM

Document Has Been Signed on 03/23/2026 02:55 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:INTERIM ASSISTED CARE OF EAST BAY INC.FACILITY NUMBER:
074700018
ADMINISTRATOR/
DIRECTOR:
STOLTE, MELISSAFACILITY TYPE:
300
ADDRESS:91 GREGORY LANE # 7TELEPHONE:
(925) 944-5779
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: CENSUS: DATE:
03/19/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Melissa StolteTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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Enforcement Analyst (EA) Megan Vigil contacted the Designee, Melissa Stolte, via telephone and successfully spoke with them. The EA introduced themselves and explained their role with the Home Care Services Branch (HCSB). The purpose of the call was to discuss and schedule the required two-year licensing visit.

During the conversation, the option of conducting the visit virtually was presented and explained in detail. The EA reviewed the virtual visit process, including technology requirements, expectations for participation, and the ability to meet all applicable licensing requirements remotely. Expectations for the file review were discussed, including that all records must be complete, accessible, legible, and available for review prior to and during the visit. Attendance requirements and all licensing expectations were also reviewed.

The Licensee confirmed their ability to meet the virtual visit requirements and agreed that a virtual visit was appropriate. Both parties agreed on the meeting format and scheduled date and time, and the Licensee acknowledged understanding of all expectations and requirements.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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