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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700993
Report Date: 03/14/2022
Date Signed: 03/14/2022 05:13:58 PM


Document Has Been Signed on 03/14/2022 05:13 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:A1 DEL MONTE STOCKTONFACILITY NUMBER:
392700993
ADMINISTRATOR:SAINI, ANURADHAFACILITY TYPE:
740
ADDRESS:517 E. FULTON STREETTELEPHONE:
(209) 910-5910
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:158CENSUS: 98DATE:
03/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Jenna SilvaTIME COMPLETED:
11:30 AM
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On 3-14-22 at 10:10am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding personal rights of residents. LPA met with Administrator Anuradha Saini and explained the purpose of the visit. Regional Executive Director Jenna Silva was present and was given permission from Anuradha to sign on her behalf and accommodate LPA. LPA interviewed regional executive director and interviewed resident1 (R1), R2, R3, R4, and R5. LPA also reviewed facility file documentation regarding notices of permission to enter resident rooms and facility house rules. Based on interviews and record review, it was determined that searches occurred in rooms for R1-R5 on 2-8-22 due to suspicion of illegal drug use and house rule violation. Interviews and record reviews revealed that permission was given by residents prior to entry and all residents were present during search. Interviews also revealed that an eviction letter was given to R1 and R3 but were rescinded after department review. R2, R4, and R5 did not receive eviction notices based on interviews conducted. At this time, facility is not actively pursuing eviction notices for R1-R5 and currently in process of organizing intervention services for residents in need.

Based on today’s visit, no deficiencies are cited. An exit interview was conducted with Jenna Silva and a copy of this report was given to Jenna

SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Michael BilgerTELEPHONE: 916-862-4722
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2022
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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