<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015600693
Report Date: 01/06/2025
Date Signed: 01/06/2025 12:09:39 PM

Document Has Been Signed on 01/06/2025 12:09 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:PLEASANT HILL MANORFACILITY NUMBER:
015600693
ADMINISTRATOR/
DIRECTOR:
RICHARD W. GINDLESBERGERFACILITY TYPE:
740
ADDRESS:27794 PLEASANT HILL CTTELEPHONE:
(510) 581-3557
CITY:HAYWARDSTATE: CAZIP CODE:
94542
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
01/06/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Richard W. Gindlesberger, Administrator TIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At around 9:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with Administrator, Richard Gindlesberger.

Administrator Certificate Number: 7001615740 Effective Date: 11/15/23 Expired Date: 11/14/2025

LPA inspected the facility inside and out including but not limited to 3 resident rooms, 2 bathrooms, kitchen, dining area and backyard. Hot water measured at 111 degrees Fahrenheit in one resident bathroom. There was sufficient supply of perishable and non perishable foods. Linen, towels and warm blankets were observed. Hygiene products were available to the residents. There was fire extinguisher observed that appeared full. Smoke detectors and carbon monoxide were tested and observed operational. First aid kit was complete. Disaster plan, complaint poster, Ombudsman poster and other required notices were posted on the wall in the dining area. Passageways and hallways were free of obstruction. Chemicals, medications as well as knives and other sharp objects were observed locked in different locations. Liability Insurance effective 5/04/2024 and expire on 5/4/2025. Fire Drill was last conducted on 12/11/2024. Emergency Disaster Plan last updated on 2/1/2024.

At 11 am, LPA reviewed 5 client files and 2 staff files. All staff are fingerprint cleared and have current first aid and CPR training. LPA reviewed medication and log.


No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Bennett FongTELEPHONE: (510) 725-7919
Kelly NguyenTELEPHONE: (510) 915-8702
DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1