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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201315
Report Date: 11/12/2024
Date Signed: 11/12/2024 11:00:46 AM

Document Has Been Signed on 11/12/2024 11:00 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:ANGEL'S CAREFACILITY NUMBER:
079201315
ADMINISTRATOR/
DIRECTOR:		SECRETARIO, JULIEFACILITY TYPE:
735
ADDRESS:5112 CONCORD BLVDTELEPHONE:
(925) 222-7420
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 4CENSUS: 0DATE:
11/12/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Jheann Magtoto LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 11/12/2024 at 09:30 AM, Licensing Program Analysts (LPAs) J. Sampair and D. Doidge arrived announced to conduct a Prelicensing inspection. Upon entry into the facility,the LPAs informed Licensee Jheann Magtoto of the purpose of the visit.

The LPAs toured the facility, inspecting the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The exterior is not clearly defined by a sketch. The facility is still under construction.
Fire extinguishers were purchased on 08/24/2024..

The facility did not pass the pre-licensing inspection.

Exit interview conducted and a copy of this report provided to the applicant.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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