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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200970
Report Date: 02/13/2025
Date Signed: 02/13/2025 02:03:41 PM

Document Has Been Signed on 02/13/2025 02:03 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:J AND R HOME CARE LLCFACILITY NUMBER:
079200970
ADMINISTRATOR/
DIRECTOR:		BISAHA, JOYFACILITY TYPE:
740
ADDRESS:1206 DAINTY AVETELEPHONE:
(925) 895-0756
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 10TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/13/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Joy Bisaha, AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On 02/13/2025 at 1:15PM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a case management visit. LPA met with Administrator Joy Bisaha and explained the purpose of the visit. Administrator holds certificate #7033899740 expires 10/17/2026. The last visit was on 05/15/2024 because of the Department CCL receiving notification from the Contra Costa Fire Department that the facilities fire clearance has been temporarily suspended.

LPA toured facility with Administrator, Joy Bisaha including but not limited to six (6) bedrooms, three (3) bathrooms, common area, kitchen, and outdoor area. LPA observed no residents at the facility during visit.

No deficiencies were cited today.


Exit interview conducted and a copy of this report provided.
Harpreet HumpalTELEPHONE: (510) 285-3928
Tonica Syess-GibsonTELEPHONE: (510) 414-0641
DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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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