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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201397
Report Date: 12/04/2024
Date Signed: 12/04/2024 12:39:43 PM

Document Has Been Signed on 12/04/2024 12:39 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:A STEP ABOVE, LLCFACILITY NUMBER:
079201397
ADMINISTRATOR/
DIRECTOR:		JOHNSON, JOHN PAULFACILITY TYPE:
775
ADDRESS:161 SAND CREEK ROADTELEPHONE:
(925) 481-2189
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 70CENSUS: 0DATE:
12/04/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Patrick Manzano, Licensee, Merfe Bailey, Program Director and John Paul Johnson, Program CoordinatorTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On 12/04/2024 at 11:00AM, Licensing Program Analyst (LPA), T. Syess-Gibson arrived to conduct an announced Pre-Licensing Inspection. LPA met with Licensee, Patrick Manzano, Program Director, Merfe Bailey and Program Coordinator, John Paul Johnson . Currently there are no clients and business is not in operation. The facility has a fire clearance approved for a capacity of 64 ambulatory and 6 non-ambulatory.

LPA toured facility with Licensee, Program Director and Program Coordinator. LPA inspected the facility inside and out including but not limited to common areas, activity rooms, bathrooms, kitchen, and storage. Facility is clean and in good repair. Smoke detector and carbon monoxide detector are in operable condition. First aid kit is complied with regulation. Fire extinguisher was last serviced on 05/13/2024. Water temperature in shared bathroom is 106.6 degrees Fahrenheit. Facility does not provide snacks or lunch for clients. Facility does not administer medication at this location.

Facility will be transporting clients. Vehicles are currently at other location.

No issues noted during inspection. LPA 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.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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