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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200873
Report Date: 11/12/2024
Date Signed: 11/12/2024 03:55:50 PM

Document Has Been Signed on 11/12/2024 03:55 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:POINT AT ROCKRIDGE, THEFACILITY NUMBER:
019200873
ADMINISTRATOR/
DIRECTOR:		BRICE, STEPHANIEFACILITY TYPE:
740
ADDRESS:4500 GILBERT STREETTELEPHONE:
(510) 658-9266
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY: 186TOTAL ENROLLED CHILDREN: 0CENSUS: 125DATE:
11/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Ebony Foy Generations Program DirectorTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 11/12/2024 at 12:00pm, Licensing Program Analysts (LPAs), D. Doidge and J. Sampair arrived unannounced to conduct a case management visit regarding an incident concerning R1 that occurred on 10/30/2024 that was reported to the Department on 11/02/2024. The LPAs met with Ebony Foy, Generations Program Director, and explained the reason for the visit.

The incident on 10/30/2024 involved R1 injuring R2. LPAs reviewed R1s Physician's report, Service Plan and Progress notes. Ebony informed LPAs that facility is starting the process of evicting R1.

Exit interview conducted. A copy of this report provided
Bennett FongTELEPHONE: (510) 286-4201
David DoidgeTELEPHONE: (916) 475-5913
DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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