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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200592
Report Date: 10/08/2021
Date Signed: 10/08/2021 12:23:10 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:TURRIN HOUSEFACILITY NUMBER:
079200592
ADMINISTRATOR:LEKSE, EVANGELINEFACILITY TYPE:
740
ADDRESS:461 TURRIN DRIVETELEPHONE:
(925) 270-3081
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:6CENSUS: DATE:
10/08/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Evangeline LekseTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) James Sampair conducted a Plan Of Correction (POC) meeting with Administrator Evangeline Lekse, and Viktoriya Dostal arrived shortly after.

Licensee Dostal explained that she is a rule-follower because of the work she does for the City and County of San Francisco. She said that she was caught in a "Catch-22" at the moment and that the situation for not having her liability insurance was that she had mistakenly given it up upon the advisement of the agent who sold her facility to the current unlicensed owner. The LPA explained that he understood, but that she would have to be cited because she had to have that insurance. She then left shortly thereafter to catch a plane.

Exit interview was conducted with Administrator Evangeline Lekse. A copy of this report and copies of the Appeal Rights were provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2021
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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