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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201127
Report Date: 01/10/2025
Date Signed: 01/13/2025 04:13:49 PM

Document Has Been Signed on 01/13/2025 04:13 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:ALAMO RESIDENCE HOMEFACILITY NUMBER:
079201127
ADMINISTRATOR/
DIRECTOR:		ENRIQUEZ, JOY MANALANGFACILITY TYPE:
740
ADDRESS:2978 MIRANDA AVETELEPHONE:
(408) 449-8044
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY: 6CENSUS: 6DATE:
01/10/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Administrator, Joy ManalangTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 1/10/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Millet Delumen. Administrator, Joy Manalang later arrived at 10:00 PM. Facility is approved for all may be non-ambulatory residents.

LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees F. Other faucets are labeled with a hot water warning sign. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2025. Emergency Disaster Plan was last posted on 1/4/2025. First aid kit was observed to be complete. disaster drill was last conducted on 10/16/2024 .

LPA reviewed 3 staff records and 3 of 3 have CPR First Aid. LPA reviewed 5 residents records.


No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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