<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601264
Report Date: 08/01/2023
Date Signed: 08/01/2023 02:01:02 PM


Document Has Been Signed on 08/01/2023 02:01 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:TENDER TOUCH RESIDENTIAL CARE HOME IIIFACILITY NUMBER:
075601264
ADMINISTRATOR:CRUZ, ESTRELLITA S.FACILITY TYPE:
740
ADDRESS:2130 DORSCH ROADTELEPHONE:
(925) 256-6879
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 5DATE:
08/01/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Caregiver Cherrie BragaTIME COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/01/2023 at 9:45 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced for a Plan Of Correction (POC) visit. Upon entry, LPA explained purpose of the visit to Caregiver Cherrie Braga in-person and Administrator (ADM) Fe Dimaano over the phone.

LPA inspected the facility to ensure that the corrections had been satisfactorily completed in accordance with the 07/17/2023 POC. They were satisfactorily completed, the citations were cleared, and copies of clearance letters given to ADM.

No citations issued during visit.

Exit interview conducted with Caregiver Cherrie Braga. A copy of this report provided for ADM by LPA via email.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1