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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415600808
Report Date: 08/20/2024
Date Signed: 08/20/2024 01:42:53 PM

Document Has Been Signed on 08/20/2024 01:42 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:ALWAYS TLCFACILITY NUMBER:
415600808
ADMINISTRATOR/
DIRECTOR:		CONSUNJI, TOMASFACILITY TYPE:
740
ADDRESS:226 SANDPIPER COURTTELEPHONE:
(650) 345-1441
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 6CENSUS: 6DATE:
08/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Administrator, Tomas ConsunjiTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On August 20, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced plan of correction visit. Upon entrance, LPA met with caregiver, Doris Mores and explained the purpose of today's visit. The administrator, Tomas Consunji arrived shortly thereafter and assisted with the visit.

During today's visit, LPA observed the following deficiencies are corrected:

-87470(b)(2); 87202(a); 87305(a);87307(d)(6); 87456(a)(2); 87608(a)(3); 87506(b)(17)(E); 87456(a)(3); 87458(a)

During today's visit, LPA observed the following deficiencies were not corrected:

- 1569.695(c); 87608(a)(5)(B); 1569.625(b)(2)

Due to the above observation and deficiencies not being corrected, a civil penalty is being assessed in the amount of $100 a day from 8//8/2024 through 8/20/2024 for the deficiencies of ; 1569.695(c); 87608(a)(5)(B) and $100 a day from 8/14/2024 through 8/20/2024 for the deficiency of 1569.625(b)(2) and will continue to accrue until corrected.

A total civil penalty of $3,300 is being assessed today.

This report is reviewed and discussed with the administrator.

A copy of this report and the appeal rights were provided.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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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