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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201434
Report Date: 03/06/2025
Date Signed: 03/06/2025 04:26:56 PM

Document Has Been Signed on 03/06/2025 04:26 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:ALONDRA CARE HOME 2FACILITY NUMBER:
019201434
ADMINISTRATOR/
DIRECTOR:
AYE, THINNFACILITY TYPE:
740
ADDRESS:36857 WALNUT STREETTELEPHONE:
(510) 509-4635
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 6CENSUS: 6DATE:
03/06/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Thinn AyeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On this day at around 11:45 AM, Licensing Program Analysts (LPA) Luisa. Fontanilla arrived announced to conduct pre licensing inspection. LPA met with staff Donna Caceres and explained the purpose of the visit. The Licensee/Applicant Administrator Thinn Aye arrived to the facility at around 12:10 PM. This pre-licensing request is for change of ownership (CHOW).

LPA inspected the facility including but not limited to 7 bedrooms 2 of which are used as staff rooms, 3 bathrooms, kitchen, common areas and backyard. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 68 degrees Fahrenheit. Hot water temperature measured at 131.1 degrees Fahrenheit. First aid kit was observed to be complete. Smoke detectors and carbon monoxide were tested and observed functional. Fire extinguishers were last serviced on 11/2024.

LPA reviewed 5 resident files and 4 staff files.

The following deficiencies were observed:
  • One resident is diabetic and on insulin but unable to manage
  • Insulin was observed unlocked in the refrigerator


The facility is not yet licensed. Pre licensing has not been completed until deficiencies are resolved.

Exit interview was conducted and a copy of this report was provided to Licensee/applicant.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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