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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201006
Report Date: 12/27/2023
Date Signed: 12/27/2023 04:03:10 PM

Document Has Been Signed on 12/27/2023 04:03 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:MELODY MITCHELL ALLENFACILITY TYPE:
741
ADDRESS:2801 SHADELANDS DRIVETELEPHONE:
(925) 954-2600
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 300CENSUS: 254DATE:
12/27/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrative Assistant Megan NethercuttTIME COMPLETED:
04:15 PM
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On 12/27/2023 at 9:45 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the continuation of the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Administrative Assistant Megan Nethercutt, who informed Executive Director (ED) Melody Allen of the visit.

The LPA reviewed the files of 6 employees and interviewed 5 clients and 5 staff members.

The Required Annual Inspection is now complete.

Exit interview conducted with Administrative Assistant Megan Nethercutt. A copy of this report provided via email to Executive Director Melody Allen.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE: DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2023
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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