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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 385600398
Report Date: 02/05/2025
Date Signed: 02/05/2025 10:57:42 AM

Document Has Been Signed on 02/05/2025 10:57 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
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SUNSET CARE HOME 2FACILITY NUMBER:
385600398
ADMINISTRATOR/
DIRECTOR:
ZHANG, ALICE FENGFACILITY TYPE:
740
ADDRESS:1367 39TH AVENUETELEPHONE:
(415) 516-9368
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/05/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Alice Zhang, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 2/5/2025, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Administrator, Alice Zhang. The facility is licensed to provide care for a total of 6 residents all of which may be non-ambulatory. The facility does not have any residents admitted at this time. The Administrator indicated that they are still determining whether they will be admitting new residents and will notify licensing.

LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, restrooms and common areas were inspected. Fire Extinguishers located throughout the facility were found to be charged. Smoke detectors were present in each common room and resident bedroom.

The home is currently utilized as a personal living space for the Administrator. Resident's bedroom have lighting & appropriate furnishings and bedding items. Restrooms for resident use were equipped with grab bars and kept in good condition. There is a large outdoor space in the backyard for resident use, equipped with ramp for mobility.

Administrator, Alice Zhang's Certification 7006527740 is valid through 12/12/2025. Additionally, LPA informed Administrator of due annual licensing fees.

No deficiencies cited during today's visit.
Andrea MedlinTELEPHONE: (650) 266-8811
Dominic TobolaTELEPHONE: (650) 393-9128
DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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