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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201060
Report Date: 11/07/2024
Date Signed: 11/07/2024 06:49:03 PM

Document Has Been Signed on 11/07/2024 06:49 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
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:AEGIS LIVING PLEASANT HILLFACILITY NUMBER:
079201060
ADMINISTRATOR/
DIRECTOR:
LINDA L. FISHERFACILITY TYPE:
740
ADDRESS:1660 OAK PARK BLVDTELEPHONE:
(925) 939-2700
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 90CENSUS: 76DATE:
11/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:10 PM
MET WITH:Linda L. Fisher, General ManagerTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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On 11/07/2024 at 4:10 PM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident that was reported to Community Care Licensing Division (CCLD) on 10/06/2024. LPA met with General Manager, Linda L. Fisher and explained the purpose of the visit. GM, Linda L. Fisher, had to leave and authorized Health Services Director, Davinderjit Singh, to sign the report.


On 10/06/2024 CCLD received an Unusual Incident Report (UIR) that reported the community fence that is on shared property with neighbors was on fire on 10/02/2024. The report indicated that the fire department was called and blazed out the burning fire to the fence.

LPA interviewed S1 that stated it was approximately 9:50pm when they were going to the parking lot and observed that there was a fire on the other side of the fence. S1 stated that they called their co-worker to call 911. S1 stated that their car was right at the fence where the fire was burning along with three (3) other cars that belong to staff members. LPA interviewed S2 that stated that approximately 10pm they were sitting in their car on the other side of the building and observed that there was a fire. S2 stated that they called 911 and asked the employees that were parked by the fence to move their cars. S2 stated that the fire department came and put the fire out immediately. LPA interviewed S3 that stated that the fire department did not find anything that caused the fire.

The UIR indicates that the General Manager, Linda L. Fisher had a meeting with the homeowner regarding repairs to the fence.

LPA observed that the fire damaged fence is boarded up with plywood.

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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