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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415201849
Report Date: 09/26/2024
Date Signed: 09/26/2024 03:24:54 PM

Document Has Been Signed on 09/26/2024 03:24 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
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:EAST WEST CARE REDWOOD CITY IIFACILITY NUMBER:
415201849
ADMINISTRATOR/
DIRECTOR:		CYNTHIA ADVINCULAFACILITY TYPE:
740
ADDRESS:1018 CLINTON STREETTELEPHONE:
(650) 261-3593
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 8CENSUS: 8DATE:
09/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:35 PM
MET WITH:Natvidad Garcia, CaregiverTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On September 26, 2024, at 2:35 PM, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra conducted an unannounced case management visit to deliver a copy of amended report in relation to the Annual inspection conducted on September 11, 2024. LPAs met Natvidad Garcia, caregiver and Leticia Devijo, caregiver and explained the purpose of the visit.

No deficiencies were issued during the visit.

LPAs provided a copy of the amended LIC809-C to the caregivers. Report is reviewed with the caregivers and a copy is provided.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Kiran Jain
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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