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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 385600270
Report Date: 03/02/2021
Date Signed: 08/01/2023 11:47:44 AM


Document Has Been Signed on 08/01/2023 11:47 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:ALMA VIA OF SAN FRANCISCOFACILITY NUMBER:
385600270
ADMINISTRATOR:BENITO DEL TOROFACILITY TYPE:
740
ADDRESS:ONE THOMAS MORE WAYTELEPHONE:
(415) 337-1339
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:175CENSUS: 99DATE:
03/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:28 PM
MET WITH:Executive Director, Benito Del ToroTIME COMPLETED:
04:00 PM
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On 3/1/2021, LPA Han conducted an unannounced Case Management Inspection regarding to some concerns were reported to the San Bruno Regional Office relating to the facility's COVID-19 protocols.

At 3:28PM, LPA Han spoke to the Executive Director, Benito Del Toro and requested for the following documents:

- Facility's Roaster
- Facility's COVID-19 updates

The Executive Director will provide the above reports to LPA Han by 3/3/2021.

LPA Han has reviewed this report with the Administrator, Benito Del Toro and will provide this report to him for signature.

signed LIC 809.pdfsigned LIC 809.pdf
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Murial HanTELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2021
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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