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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134604398
Report Date: 07/21/2022
Date Signed: 07/21/2022 03:41:07 PM

Document Has Been Signed on 07/21/2022 03:41 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SUNSET HOME IIFACILITY NUMBER:
134604398
ADMINISTRATOR:NEGRETE, MARIA E.FACILITY TYPE:
735
ADDRESS:987 W. EVAN HEWES HWY.TELEPHONE:
(760) 562-6559
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: 4CENSUS: 4DATE:
07/21/2022
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maria EspinosaTIME COMPLETED:
03:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Collateral visit. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Direct Support Professional Maria Espinosa. Administrator Maria Negrete arrived during the visit.

During today's visit, LPA interviewed a client for a complaint investigation lodged against another facility licensed by Community Care Licensing.

An exit interview was conducted with Administrator Maria Negrete, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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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