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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 03:58:29 PM

Document Has Been Signed on 08/22/2024 03:58 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/
DIRECTOR:		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:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Cristina Dee-Hoskins, Administrator/LicenseeTIME VISIT/
INSPECTION 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 verify Plans of Correction submitted to licensing and deliver Plan of Correction Clearance letters.

All deficiencies have been corrected at this time.

An exit interview was conducted and the report was emailed to Licensee/Administrator, Cristina Dee-Hoskins.
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: John Calandra
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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