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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201005
Report Date: 12/15/2023
Date Signed: 12/15/2023 01:33:54 PM


Document Has Been Signed on 12/15/2023 01:33 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
OAKLAND ASC, 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: 5DATE:
12/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Joy Manalang-EnriquezTIME COMPLETED:
02:00 PM
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On 12/15/2023 at 9:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a prelicensing inspection of the facility with Administrator Joy Manalang-Enriquez. Upon arrival, the LPA identified himself and verified the purpose of the meeting.

During this visit, the LPA inspected the facility's physical plant (inside and outside), checked postings, and reviewed facility and resident records. The facility is fully in compliance with Title 22 regulations.

No citations issued during visit.

Exit interview conducted and a copy of this report was provided via email to Administrator Joy Manalang-Enriquez.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2023
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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