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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200578
Report Date: 07/08/2021
Date Signed: 07/08/2021 01:44:55 PM

Document Has Been Signed on 07/08/2021 01:44 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:CORDIAL CARE HOMEFACILITY NUMBER:
079200578
ADMINISTRATOR:OKEIGWE, OGEDIFACILITY TYPE:
740
ADDRESS:2957 HANNAN DRIVETELEPHONE:
(925) 947-5812
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 6CENSUS: 4DATE:
07/08/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Winifred Wepee/Facility Manager
and Ogedi Okeigwe/Administrator 		TIME COMPLETED:
01:50 PM
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Licensing Program Analyst (LPA) Delmundo conducted a health and safety inspection as a result of the Department receiving a complaint (Control # 15-AS-20210629164337). LPA called and informed Ogedi Okeigwe, administrator, the purpose of visit and inspection. Ogedi authorized Winifred Wepee to be with LPA during inspection. Ogedi arrived after about 2 hours.

LPA toured the facility inside out with Winifred Wepee LPA inspected the living room, kitchen, dining area, bedrooms, bathrooms, side and backyards. There were 3 staff on-duty and 2 residents present. Facility has 8 bedrooms, 6 designated for residents use and 2 for staff.

Facility has sufficient lighting. Hallways and passageways were observed free of obstructions. Knives were observed in a locked cabinet in the kitchen.

Exit interview conducted and copy of this report provided to Ogedi Okeigwe.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2021
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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