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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075600335
Report Date: 11/25/2020
Date Signed: 11/25/2020 09:49:31 AM

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:REUTLINGER COMMUNITY, THEFACILITY NUMBER:
075600335
ADMINISTRATOR:KAUR, RAMANDEEPFACILITY TYPE:
741
ADDRESS:4000 CAMINO TASSAJARATELEPHONE:
(925) 648-2800
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:120CENSUS: DATE:
11/25/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Rammy KaurTIME COMPLETED:
09:25 AM
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On 11/25/2020 at 9:14AM, Licensing Program Analyst (LPA) Jacob Williams conducted a Case Management call with Administrator Rammy Kaur. Due to the State's current shelter in place order, this visit was conducted by telephone. LPA discussed an Incident Report involving two residents. LPA learned that the facility appropriately intervened and have separated the two residents.
SUPERVISOR'S NAME: Julio MontesTELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Jacob WilliamsTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2020
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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