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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601451
Report Date: 01/29/2025
Date Signed: 01/29/2025 03:29:21 PM

Document Has Been Signed on 01/29/2025 03:29 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:KARO MINA CARE HOMEFACILITY NUMBER:
075601451
ADMINISTRATOR/
DIRECTOR:		EWEDA, MONAFACILITY TYPE:
740
ADDRESS:2866 LARAMIE AVENUETELEPHONE:
(925) 551-8263
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
01/29/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:Licensee/Administrator, Mona EwedaTIME VISIT/
INSPECTION COMPLETED:
02:57 PM
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On 01/29/2025 at 1:50 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Licensee/Administrator, Mona Eweda and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory.

Due to the behaviors of the Licensee and safety the LPA was not able to conduct the Annual Inspection. LPA will return at a later date to complete the annual inspection and issue deficiencies.

The Following Deficiencies were observed:
  • Facility front door has a bolt lock with a combination on the inside
  • Licensee intentionally made false claims to LPA regarding individual at facility.




Due to Licensees hostile nature LPA will provide a copy of this report via certified mail
Yvonne Flores-LariosTELEPHONE: (510) -28-0517
Alona GomezTELEPHONE: 510-239-1306
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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