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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435294340
Report Date: 01/29/2025
Date Signed: 01/29/2025 11:54:56 AM

Document Has Been Signed on 01/29/2025 11:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:MOLDAW FAMILY RESIDENCES AT 899 CHARLESTONFACILITY NUMBER:
435294340
ADMINISTRATOR/
DIRECTOR:		MARK BADDASFACILITY TYPE:
741
ADDRESS:899 EAST CHARLESTON ROADTELEPHONE:
(650) 433-3600
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 270CENSUS: DATE:
01/29/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Mark BaddasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) David Marrufo, Licensing Program Manager (LPM) Romeo Manzano, and Regional Manager (RM) Vivien Helbling had an office meeting with facility representatives Administrator Mark Baddas, Manager of Operations Manny Lopez, and Legal Counsel Pam Kaufmann.

During the meeting, the facility representatives discussed the plans to renovate the facility and presented diagrams and renovation plans to the Department. Administrator Baddas stated that the renovations will primarily include the facility dinning rooms and will also include changes to the carpeting, lighting, and painting of other areas in the facility. He stated there are plans to utilize other portions of the facility to continue dining services to the residents. He stated that the renovation of the Independent Living dining room is expected to take four to six months.

RM requested a written Plan of Operation that will explain the renovation plans and the plans to mitigate the interruption of services to residents during construction.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Administrator Mark Baddas and a copy of this report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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