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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201421
Report Date: 01/13/2025
Date Signed: 01/13/2025 01:53:17 PM

Document Has Been Signed on 01/13/2025 01:53 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:NEWPORT INSTITUTE-WILLOW HILLFACILITY NUMBER:
079201421
ADMINISTRATOR/
DIRECTOR:		ZAMBRANO, ALVAROFACILITY TYPE:
772
ADDRESS:1400 LAWRENCE RDTELEPHONE:
(714) 393-3523
CITY:DANVILLESTATE: CAZIP CODE:
94506
CAPACITY: 6CENSUS: 0DATE:
01/13/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Program Manager, Alvaro ZambranoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 1/13/2025 at 1:30 PM, Licensing Program Analyst (LPA) A. Gomez arrived announced to conduct the COMP III Presentation. LPA met with Program Manager, Alvaro Zambrano and Compliance Specialist, Fausto Arambuo and explained the purpose of the visit. The facility currently has no clients.

COMP III Presentation has been completed.


Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
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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