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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601062
Report Date: 07/06/2023
Date Signed: 07/06/2023 07:28:10 PM


Document Has Been Signed on 07/06/2023 07:28 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
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612



FACILITY NAME:BETTER LIVING CARE HOMEFACILITY NUMBER:
075601062
ADMINISTRATOR:GALERA, ANABELLE & RUDOLPHFACILITY TYPE:
740
ADDRESS:106 VIVIAN DRIVETELEPHONE:
(925) 674-8820
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:8CENSUS: 8DATE:
07/06/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
05:30 PM
MET WITH:Liza Sanchez, CaregiverTIME COMPLETED:
06:30 PM
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On 07/06/2023 at 5:30PM, Licensing Program Analyst (LPA), L. Alexander arrived unannounced to conduct a health and safety check as a result of the department receiving a complaint. LPA met with Caregiver, Liza Sanchez and explained the reason for the visit.

LPA observed residents sitting in common area watching television, reading and taking a nap in their rooms.

During the Health and Safety Check, LPA toured the facility including but not limited to kitchen, common areas, bathrooms, bedrooms and outdoor area.

Exit interview conducted and a copy of this report provided.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Lori Alexander-WashingtonTELEPHONE: (510) 285-3934
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2023
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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