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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803241
Report Date: 03/05/2025
Date Signed: 03/05/2025 03:46:55 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/05/2025 03:46 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:BROOKDALE CHANATEFACILITY NUMBER:
496803241
ADMINISTRATOR/
DIRECTOR:		ALVARADO, ROBERTFACILITY TYPE:
740
ADDRESS:3250 CHANATE RDTELEPHONE:
(707) 575-7503
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 140CENSUS: DATE:
03/05/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Robert Alvarado, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:01 PM
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Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct the continuation of the Annual inspection conducted on 2/19/25 and was greeted by Administrator Robert Alvarado.

On 2/19/25 LPA conducted annual inspection and completed the annual inspection, However, LPA had computer printing errors which caused the 809D pages not to print the respective deficient practice statement language nor the respective plan of correction language. LPA has amended all related 809D pages to now include the completed respective deficient practice statement language and the respective plan of correction language. LPA reviewed with Admin the respective 809D pages and plans of correction.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with Administrator and a copy of this report was given.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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