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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075600353
Report Date: 04/29/2024
Date Signed: 04/29/2024 04:47:05 PM


Document Has Been Signed on 04/29/2024 04:47 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:ATRIA VALLEY VIEWFACILITY NUMBER:
075600353
ADMINISTRATOR:BINDRA, MONIQUE SFACILITY TYPE:
740
ADDRESS:1228 ROSSMOOR PKWYTELEPHONE:
(925) 937-7300
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94595
CAPACITY:153CENSUS: 106DATE:
04/29/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Executive Director Monique BindraTIME COMPLETED:
05:00 PM
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On 4/29/2024 at 3:45 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to deliver amended findings on the complaint 15-AS-20230718113231. LPA stated purpose of visit upon entry to Executive Director Monique Bindra.

The amended LIC9099 from 7/25/2023, amended LIC9099 and amended LIC9099-C from 7/26/2023 were signed by Executive Director Monique Bindra.

Exit interview conducted with Executive Director Monique Bindra. A copy of this report provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 04/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/29/2024
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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