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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201006
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:41:05 PM

Document Has Been Signed on 12/03/2024 04:41 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:VIAMONTE AT WALNUT CREEKFACILITY NUMBER:
079201006
ADMINISTRATOR/
DIRECTOR:		MELODY MITCHELL ALLENFACILITY TYPE:
741
ADDRESS:2801 SHADELANDS DRIVETELEPHONE:
(925) 954-2600
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 300CENSUS: 250DATE:
12/03/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Executive Director Melody AllenTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 12/03/2024 at 2:00 PM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced to conduct the Case Management Annual Continuation visit to the facility. Upon arrival, LPAs stated the purpose of the visit to Executive Director Melody Allen.

The LPAs completed the review of the resident and staff files.

The annual inspection is complete.

No citations were issued during the visit.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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