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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200627
Report Date: 10/12/2023
Date Signed: 10/12/2023 05:52:46 PM

Document Has Been Signed on 10/12/2023 05:52 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:DINAMI HOME INCFACILITY NUMBER:
079200627
ADMINISTRATOR:RIDEOUT, TWYLAFACILITY TYPE:
735
ADDRESS:26 MURILLO COURTTELEPHONE:
(510) 689-9552
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY: 6CENSUS: 2DATE:
10/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Twyla Rideout/AdministratorTIME COMPLETED:
05:45 PM
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While at the facility for other reason, Twyla Rideout, administrator, informed Licensing Program Analyst (LPA) Delmundo that she hired a new administrator. Maria Angelica Bonuan, who started October 1, 2023. LPA informed Ms. Rideout to submit the following within 30 days from the date Ms. Bonuan officially took over the position:
1. Signed letter indicating the change
2. Copies of Ms. Bonuan's administrator certificate and LIC501 Personnel Report

Exit interview conducted and copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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