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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201467
Report Date: 03/20/2025
Date Signed: 03/20/2025 01:58:02 PM

Document Has Been Signed on 03/20/2025 01:58 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:A FAMILY OF LOVE RCFE LLCFACILITY NUMBER:
079201467
ADMINISTRATOR/
DIRECTOR:		MENDOZA, LIWAYWAYFACILITY TYPE:
740
ADDRESS:2754 EASTGATE AVENUETELEPHONE:
(925) 378-9906
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 6CENSUS: 0DATE:
03/20/2025
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Dennis Mendoza, Licensee/Applicant
Liwayway Mendoza, Licensee/Applicant		TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 3/20/2025 at 1:00PM, Licensing Program Analysts (LPAs) G. Luk and Y. Brown conducted a face to face Component III presentation. LPAs met with Licensees/Applicants, Dennis Mendoza and Liwayway Mendoza.

LPAs presented Component III power point and discussed the regulations embodied in the presentation. LPAs observed Licensees/Applicants gained knowledge about running and maintaining the facility in accordance with Title 22 regulations.

LPAs concluded Component III.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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