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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201303
Report Date: 11/17/2023
Date Signed: 11/17/2023 10:52:57 AM

Document Has Been Signed on 11/17/2023 10:52 AM - 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:NURTURE PLUS CARE HOMEFACILITY NUMBER:
079201303
ADMINISTRATOR:JOFFRE GRANT CUENCOFACILITY TYPE:
735
ADDRESS:968 SEASCAPE CIRCLETELEPHONE:
(415) 420-5672
CITY:RODEOSTATE: CAZIP CODE:
94572
CAPACITY: 4CENSUS: 0DATE:
11/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Joffre Grant Cuenco & Cherrielyn Cuenco, AdministratorsTIME COMPLETED:
11:00 AM
NARRATIVE
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On 11/17/2023 at 10:10 AM, Licensing Program Analyst (LPA) P. Watson conducted a face to face Component III presentation on with Administrator, Joffre & Cherrielyn Cuenco.

LPA presented Component III power point and discussed the regulations embodied in the power point. LPAs observed participants gained knowledge about running and maintaining the facility in accordance with regulations.





Exit interview conducted and a copy of report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Paris Watson
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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