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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601564
Report Date: 03/14/2025
Date Signed: 03/14/2025 10:08:11 AM

Document Has Been Signed on 03/14/2025 10:08 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:LYNWOOD GUEST HOMEFACILITY NUMBER:
075601564
ADMINISTRATOR/
DIRECTOR:		WOOD, RENALYN B.FACILITY TYPE:
740
ADDRESS:725 LAS BARRANCAS DRIVETELEPHONE:
(925) 963-8221
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 6CENSUS: 5DATE:
03/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:House Manager, Erna BrymerTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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 04/30/2024 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with House Manager, Erna Brymer and explained the purpose of the visit. Administrator, Renalyn Wood arrived at 9:40AM The facility’s fire clearance was approved for 6 non-ambulatory with a hospice waiver for 4.

LPA toured facility with House Manager and Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. Pool was locked and secured. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature measured between 105 and 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 02/26/2025. Emergency Disaster Plan was last posted on 02/08/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/02/2025.

At 8:40 AM, LPA reviewed 5 residents records. At 9:20 AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility.


No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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 2