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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
502701372
Report Date:
10/24/2024
Date Signed:
10/24/2024 02:38:39 PM
Document Has Been Signed on
10/24/2024 02:38 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 TURLOCK
FACILITY NUMBER:
502701372
ADMINISTRATOR/
DIRECTOR:
DOMINICI, ANDREW
FACILITY TYPE:
735
ADDRESS:
1617 COLORADO AVENUE
TELEPHONE:
(415) 710-7538
CITY:
TURLOCK
STATE:
CA
ZIP CODE:
95382
CAPACITY:
84
CENSUS:
0
DATE:
10/24/2024
TYPE OF VISIT:
Prelicensing
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:
Betty Dominici, Licensee
TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Renee Campbell arrived announced to complete a prelicensing inspection. LPA Campbell met with applicant Betty Dominici and explained the purpose of the visit.
LPA Campbell observed that a new hot water heater had been installed and was working. LPA Campbell then went to a bathroom that would be served by the new boiler and measured the temperature of the water. Hot water was measured at 108 degrees Fahrenheit (F) which is within the required measurement 105 degree F (41 degree C) and 120 degree F (49 degree C). The water for another bathroom in another section of the facility was measured at 113 degrees F.
LPA Campbell has no objections to licensure. This prelicensing inspection has been passed. An exit interview was conducted and a copy of this report was left with Betty Dominici.
SUPERVISORS NAME
:
Lisa Rios
LICENSING EVALUATOR NAME
:
Renee Campbell
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/24/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/24/2024
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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