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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
415600927
Report Date:
07/21/2023
Date Signed:
07/21/2023 02:39:30 PM
Document Has Been Signed on
07/21/2023 02:39 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
SF COASTAL AC/SC
,
851 TRAEGER AVE., SUITE 360
SAN BRUNO
,
CA
94066
FACILITY NAME:
HOPKINS MANOR PACIFIC CORPORATION
FACILITY NUMBER:
415600927
ADMINISTRATOR:
WU, LULIN
FACILITY TYPE:
740
ADDRESS:
1235 HOPKINS AVENUE
TELEPHONE:
(650) 368-5656
CITY:
REDWOOD CITY
STATE:
CA
ZIP CODE:
94062
CAPACITY:
88
CENSUS:
71
DATE:
07/21/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
11:15 AM
MET WITH:
Ricardo Aban
TIME COMPLETED:
02:45 PM
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On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management visit. LPA met with administrator Ricardo Aban and explained the purpose of today's visit.
No citations issued.
Report is reviewed with Ricardo.
SUPERVISOR'S NAME:
Cara Smith
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
Jaime Vado
TELEPHONE:
(559) 476-9353
LICENSING EVALUATOR SIGNATURE:
DATE:
07/21/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/21/2023
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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