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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200344
Report Date: 08/13/2021
Date Signed: 08/13/2021 02:13:58 PM

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:ALAMO VILLAFACILITY NUMBER:
079200344
ADMINISTRATOR:DIANE PADUREANFACILITY TYPE:
740
ADDRESS:2795 MIRANDA AVENUETELEPHONE:
(925) 933-2808
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:6CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Diane Padurean, LicenseeTIME 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 8/13/2021 at 1:45 PM, Licensing Program Analyst (LPA) L. Francisco conducted a Case Management visit as a result of licensee requested closure of the facility due to plan of retirement. Upon arrival at 1:45PM, LPA met with Licensee, Diane Padurean.

On July 5, 2021, Licensee issued a proper 60 day notice to all 5 residents and sent LPA a copy via email of notice on July 8, 2021. LPA obtained a copy of all residents placement..

Starting at 1:50pm, LPA toured entire facility with Licensee including kitchen, bathrooms, bedrooms, common areas, backyard garage and detached office. LPA confirmed all residents have moved out. Licensee surrendered her facility license during today's visit.

A forfeiture letter will be mailed to licensee at a later time. Exit interview conducted and a copy of this report provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette FranciscoTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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