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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201005
Report Date: 01/26/2023
Date Signed: 01/27/2023 09:37:07 AM


Document Has Been Signed on 01/27/2023 09:37 AM - 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:CARELINK ASSISTED LIVINGFACILITY NUMBER:
079201005
ADMINISTRATOR:JOY MANALANG-ENRIQUEZFACILITY TYPE:
740
ADDRESS:3101 BOWLING GREEN DRTELEPHONE:
(925) 765-9618
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 6DATE:
01/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:ALFREDO MANALANGTIME COMPLETED:
05:45 PM
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On 01/26/2023 at 4:30 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to deliver an updated LIC 809-D to the Administrator. Upon entry into the facility, the LPA identified himself and the purpose of the visit to staff.

The Administrator was not present at the facility, so LPA called ADM Manalang-Enriquez and shared the updated document with her over the phone. LPA sent the updated document to the ADM via email. Staff person ALFREDO MANALANG signed the document.

No citations were issued.

Exit interview conducted and a copy of this report provided via email.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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