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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370803192
Report Date: 10/18/2024
Date Signed: 10/18/2024 12:20:40 PM

Document Has Been Signed on 10/18/2024 12:20 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:ARC OF SAN DIEGO-SOL AND RUTH GERBER FAMILY CENTERFACILITY NUMBER:
370803192
ADMINISTRATOR/
DIRECTOR:		OTERIA "TERI" MEDLEYFACILITY TYPE:
775
ADDRESS:1280 NOLAN AVENUETELEPHONE:
(610) 800-3635
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 186CENSUS: 128DATE:
10/18/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Adela Martinez, AC Department Case Manager TIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the facility. LPA Lopez identified herself and was granted entry by Andrina Rivera, Administrative Assistant. LPA stated the purpose of the visit with Ms. Rivera.

During the visit, LPA Lopez spoke with staff and client to aid in an open investigation involving a different licensed care facility. No deficiencies were observed or cited during today's visit.

An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to AC Department Case Manager, Adela Martinez, at the conclusion of the visit. The signature below confirms the receipt of the documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
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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