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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601014
Report Date: 09/30/2022
Date Signed: 09/30/2022 11:49:39 AM


Document Has Been Signed on 09/30/2022 11:49 AM - 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:REYES GUEST HOMES-BELFORDFACILITY NUMBER:
075601014
ADMINISTRATOR:RAQUEL Y. COYLEFACILITY TYPE:
740
ADDRESS:2263 BELFORD DR.TELEPHONE:
(925) 280-9975
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 6DATE:
09/30/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Raquel Coyle and Licensee Flor ReyesTIME COMPLETED:
12:15 PM
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On 09/30/2022, Licensing Program Analyst (LPA) J. Sampair conducted an unannounced Plan of Correction (POC) inspection of the facility to verify that the 3 corrections to the POC issued on 09/21/2022 that were due on 09/28/2022 had been made in an appropriate manner. The LPA identified himself and the purpose of the visit to staff members who called Administrator Raquel Coyle and Licensee Flor Reyes.

The LPA inspected the facility inside and out. During the inspection, the LPA observed that the POC had been implemented correctly and that the appropriate adjustments had been completed at the facility.

After the inspection, the LPA met with Administrator Raquel Coyle and Licensee Flor Reyes. They discussed the changes and the LPA answered additional questions they had about resident care at this and their other facilities.

No citations were issued during the visit and a copy of this report was provided via email.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2022
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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