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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 04:27:46 PM

Document Has Been Signed on 03/06/2025 04:27 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:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Thinn AyeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On this day, LPA L. Fontanilla conducted Component lll with Licensee/Applicant Thinn Aye.

During the visit, LPA presented Power point presentation to Licensee/Applicant.

LPA provided Thinn Aye CCL and LPA contact information.

A copy of this report was provided to Aye.
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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