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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201416
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:18:49 PM

Document Has Been Signed on 03/21/2025 01:18 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:STRAWBERRY HILL AT GILL PORTFACILITY NUMBER:
079201416
ADMINISTRATOR/
DIRECTOR:
ASILUM, MARY KAROLINEFACILITY TYPE:
740
ADDRESS:2069 GILL PORT LNTELEPHONE:
(925) 448-2977
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 6CENSUS: 3DATE:
03/21/2025
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Caregiver Erma (Julie) DualTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On March 21, 2025 at 10:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this post licensing inspection. The LPA informed Caregiver Erma (Julie) Dual of the purpose of this visit and informed Administrator Mary Asilum of the purpose of this visit by phone.

The LPA inspected the inside and outside of the facility. The inspection included the kitchen, dining area, common areas, bedrooms, and yard outside common areas. An adequate amount of food supplies were observed, more than the required minimum of 2 days of perishable and 7 days of non-perishable food. The central storage for medications was locked. The cleaning supplies and dangerous objects were stored in locked cabinets.

The Facility has working smoke and carbon monoxide detectors. The staff of the facility conduct disaster / emergency and fire drills on a quarterly basis. The fire extinguishers were all replaced on May 3, 2024. The indoor temperature was 70.8 degrees Fahrenheit and the maximum hot water temperature was 111.7 degrees Fahrenheit, both within the acceptable range.

The LPA reviewed facility, resident, and staff records.

No citation was issued during this inspection.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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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