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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601477
Report Date: 06/05/2024
Date Signed: 06/05/2024 09:13:51 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/05/2024 09:13 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:BETS CARE HOMEFACILITY NUMBER:
075601477
ADMINISTRATOR:LIZA BETSFACILITY TYPE:
740
ADDRESS:747 SAN LUIS COURTTELEPHONE:
(925) 332-8562
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY:4CENSUS: 0DATE:
06/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Liza Bets, LicneseeTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) J Clancy-Czuleger arrived to the facility announced to confirm that the facility is closed and is no longer in operation. On 04/30/2024 LPA received notification that the facility will be closing.

Upon arrival at the facility LPA was met by Liza Bets, the licensee to do the final walk through. The LPA walked around the facility inside and out and confirmed there was no residents at the facility. LPA collected the original copy of the License at this time.

Exit interview conducted and a copy of this report provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Jill Clancy-CzulegerTELEPHONE: 510-286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024
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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