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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804249
Report Date: 10/03/2024
Date Signed: 10/03/2024 09:53:42 AM

Document Has Been Signed on 10/03/2024 09:53 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:RHOME CARES LLCFACILITY NUMBER:
486804249
ADMINISTRATOR/
DIRECTOR:		NARULA, BITTUMFACILITY TYPE:
735
ADDRESS:480 PHOENIX CIRCLETELEPHONE:
(510) 366-4131
CITY:VALLEJOSTATE: CAZIP CODE:
94589
CAPACITY: 4CENSUS: 0DATE:
10/03/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Bittum Narula (Applicant/Licensee)TIME VISIT/
INSPECTION COMPLETED:
10:10 AM
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Licensing Program Analyst (LPA) Cuadra arrived announced to conduct a Pre-licensing Continuation Facility Inspection and met with Applicant Bittum Narula. A pre-licensing inspection was completed on 09/26/2024.

During today’s visit LPA observed the following items:
  • 1st aid kit with manual.
  • proof of lockable cabinet for knives and medications.
  • proof of required postings (CCL complaint poster and visitor policy)
  • Room # 4 was furnished per regulation.

Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulation. LPA will notify Application Unit Pre-licensing inspection is complete to proceed with the process of license. Pre-Licensing items that needed to be corrected were resolved. Pre-Licensing is now complete.

No deficiencies cited at today’s inspection. Exit interview conducted with Applicant and a copy of this report was given.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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