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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201154
Report Date: 06/27/2022
Date Signed: 06/27/2022 12:03:43 PM

Document Has Been Signed on 06/27/2022 12:03 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:LAS TRAMPAS-ADULT DEVELOPMENT PROGRAMFACILITY NUMBER:
079201154
ADMINISTRATOR:CASHEL, RAYMOND JOSEPHFACILITY TYPE:
775
ADDRESS:3460 LANA LANETELEPHONE:
(925) 284-1462
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY: 120CENSUS: 0DATE:
06/27/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Raymond Joseph Cashel, Director of Residential and Day ServicesTIME COMPLETED:
12:15 PM
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On 06/27/2022 at 10:00 AM, Licensing Program Analyst (LPA) C. Lin arrived announced to conduct Pre-licensing Required inspection. LPA met with Executive Director Daniel Hogue and Director of Residential and Day Services Joseph Cashel, and explained the purpose of the visit. The facility is a brand new building and currently has no client.

LPA toured facility including but not limited to classrooms, conference rooms, staff offices, bathrooms, kitchen, common areas, and outdoor areas. Each room was equipped with the proper furniture. Bathrooms were equipped with shower and Handi Move ceiling mounted lift machine. Cabinets for medications and cleaning supplies were observed with locks. There is sufficient lighting throughout facility. Room temperature was maintained at 72 degrees F and hot water temperature was maintained at 109.2 degrees F. First-aid kit was observed to be complete and located in different rooms. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 01/28/2022.

No issues noted during inspection. LPAs observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required.

This Pre-licensing inspection is for facility's changing of location. Both Directors have been overseen Las Trampas multiple facilities for many years and are familiar with California regulations Title 22. Therefore, Comp III has been approved to be waived by LPM J. Fong.

Exit interview conducted with Directors and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Catherine Lin
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022
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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