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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415600874
Report Date: 01/09/2025
Date Signed: 01/09/2025 01:15:26 PM

Document Has Been Signed on 01/09/2025 01:15 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:BROOKDALE REDWOOD CITYFACILITY NUMBER:
415600874
ADMINISTRATOR/
DIRECTOR:		MONICA CERON TAPIAFACILITY TYPE:
740
ADDRESS:485 WOODSIDE RDTELEPHONE:
(650) 366-3900
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 130CENSUS: 66DATE:
01/09/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Monica Ceron-Tapia, Executive Director TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 1/9/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction visit in regards to the deficiency cited on 1/8/2025. LPA Calandra was greeted by Monica Ceron-Tapia and explained the purpose of the visit.

No deficiencies were cited during today's visit.

This report was reviewed with Monica Ceron-Tapia, Executive Director and a copy of the report along with the Plan of Correction(POC) clearance letter were left at the facility.
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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