<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502701372
Report Date: 10/16/2024
Date Signed: 10/16/2024 03:41:14 PM

Document Has Been Signed on 10/16/2024 03:41 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ALAMO HEALTH MANAGEMENT OF TURLOCKFACILITY NUMBER:
502701372
ADMINISTRATOR/
DIRECTOR:		DOMINICI, ANDREWFACILITY TYPE:
735
ADDRESS:1617 COLORADO AVENUETELEPHONE:
(415) 710-7538
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 84CENSUS: 0DATE:
10/16/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Andrew Dominici, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Renee Campbell arrived announced to conduct a prelicensing inspection. LPA Campbell met with applicants Betty and Andrew Dominici and explained the purpose of the visit.

LPA Campbell conducted Component III orientation with the applicants.

The facility consists of 42 rooms divided between two buildings. LPA Campbell toured the property with the applicants and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. LPA Campbell observed dining areas, meeting rooms and staff office areas in the facility as well. Furniture and furnishings were sufficient to meet the needs of prospective residents. The indoor temperature was 72 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The homes water boiler will be replaced on 10/17/24 approximately.

LPA Campbell observed first aid supplies, fully-charged and up-to-date fire extinguishers, and working carbon monoxide/smoke detectors. LPA Campbell observed the minimum two-day supply of perishable food and a seven-day supply of nonperishable food. LPA Campbell observed a locked med-cart in locked medication room for the storage of medication.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ALAMO HEALTH MANAGEMENT OF TURLOCK
FACILITY NUMBER: 502701372
VISIT DATE: 10/16/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Pre-Licensing is incomplete with deficiencies to be resolved by 10/17/24. At that time, a new boiler will be installed. A follow up Pre-licensure LIC809 will be generated upon resolution of deficiencies
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2