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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201441
Report Date: 03/07/2025
Date Signed: 03/07/2025 12:32:21 PM

Document Has Been Signed on 03/07/2025 12:32 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:ANGEL'S CARE WALNUT CREEKFACILITY NUMBER:
079201441
ADMINISTRATOR/
DIRECTOR:		CAGADAS, MARY JANEFACILITY TYPE:
735
ADDRESS:2443 AARLES CTTELEPHONE:
(925) 222-7420
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 6CENSUS: 0DATE:
03/07/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Applicant Jheann MagtotoTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On March 7, 2025 at 10:00 AM, Licensing Program Analyst (LPA) James Sampair arrived announced to conduct a Prelicensing inspection. Upon entry into the facility, the LPA informed Applicant Jheann Magtoto of the purpose of the visit.

The LPA toured the facility, inspecting the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. Facility included a locking cabinet for centrally stored medications. Personnel and facility records were stored at the facility and made accessible to the LPA. Bathrooms and showers were observed to be fully functioning and clean. Facility has a combined carbon monoxide and smoke detector that was fully operational. The fire extinguishers were last serviced on 04/16/2024.

The facility passed the pre-licensing inspection.

Component III training completed.

Exit interview conducted and a copy of this report provided to the applicant.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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