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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201372
Report Date: 08/06/2024
Date Signed: 08/06/2024 10:46:21 AM

Document Has Been Signed on 08/06/2024 10:46 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:GLASGOW RESIDENCESFACILITY NUMBER:
079201372
ADMINISTRATOR/
DIRECTOR:		ARNANTE, CLAUDIO S. JR.FACILITY TYPE:
735
ADDRESS:4641 GLASGOW CTTELEPHONE:
(925) 395-0285
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY: 4CENSUS: 0DATE:
08/06/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:CLAUDIO ARNANTE, ADMINISTRATORTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 08/06/24 at 9:30AM. Licensing Program Analyst (LPA) Carol Fowler arrived announced to conduct a pre-licensing inspection. LPA met with Administrator/Applicant (ADM) and explained the purpose of the visit. ADM has a current administrator certificate # 6012867735 which expires 06/07/25. Fire clearance was granted on 04/12/24 for 4 ambulatory clients. Facility currently has no clients.

LPA toured the facility with ADM including but not limited to the clients' bedrooms, common areas, kitchen, and outdoor area. Facility has adequate lighting. Indoor and outdoor passageways were observed free of obstruction. LPA observed hot water temperature at 120 degrees F. LPA observed Towels, sheets, activity supplies and hygiene products were observed available. The facility has 2 full and 1 half bathrooms. LPA observed the shower area has non-skid floor tiles. There are activity materials observed in the living room. Facility has flashlights available for emergency use. LPA observed sufficient emergency supplies stored inside the garage. There is sufficient lighting throughout facility. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was observed fully charged. Proper hand-washing signs, Emergency/Disaster plans/contact information, personal rights were observed posted in common areas.

LPA observed no deficiencies during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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