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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415201905
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:51:03 PM


Document Has Been Signed on 08/22/2024 03:51 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:REDWOOD CARE HOMEFACILITY NUMBER:
415201905
ADMINISTRATOR:DEE-HOSKINS, CRISTINAFACILITY TYPE:
740
ADDRESS:188 DUANE STREETTELEPHONE:
(650) 364-3499
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:18CENSUS: 10DATE:
08/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Cristina Dee-Hoskins, Administrator/LicenseeTIME COMPLETED:
04:00 PM
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On August 22, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:35 AM to deliver an Amended report. The report was Amended to clarify what the facility was being cited for previously and to remove a deficiency.

An exit interview was conducted. This report was reviewed with Licensee/Administrator, Cristina Dee-Hoskins and a copy of the report was provided via email.
SUPERVISOR'S NAME: Andrea MedlinTELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: John CalandraTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024
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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