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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200218
Report Date: 10/30/2023
Date Signed: 10/30/2023 02:41:02 PM

Document Has Been Signed on 10/30/2023 02:41 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:SUNNY HOMEFACILITY NUMBER:
079200218
ADMINISTRATOR:CALIN NICULESCUFACILITY TYPE:
735
ADDRESS:1612 ENID DRIVETELEPHONE:
(925) 323-4068
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY: 6CENSUS: 5DATE:
10/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Calin Niculescu, AdministratorTIME COMPLETED:
02:50 PM
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On 10/30/2023 at 1:55 PM Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to conduct a Case Management. LPA met with Calin Niculescu, Administrator.

LPA was following up on previous case management dated 10/03/2023. The facility was informed that the official cause of death for R1 was covid-19

No deficiencies are being cited on this date.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2023
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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