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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370808449
Report Date: 03/29/2023
Date Signed: 03/30/2023 08:06:20 AM

Document Has Been Signed on 03/30/2023 08:06 AM - 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:NEW VISTASFACILITY NUMBER:
370808449
ADMINISTRATOR:HOLLY MCNERNEYFACILITY TYPE:
772
ADDRESS:734 10TH AVENUETELEPHONE:
(619) 239-4663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 14CENSUS: 10DATE:
03/29/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Holly Mcnerney, Program DirectorTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Amy Domingo conducted an announced Case Management visit. LPA Domingo as welcomed by, identified herself to, and discussed the purpose of the visit with Program Coordinator Bartell Rivera and Program Director Holly McNerney

During today's visit, LPA toured the facility, conducted a health and safety check, observed the clients in care, secured facility records, and interviewed staff. The facility self reported an incident of alleged sexual assault of Client 1 (C1)  (See Confidential Name List LIC 811).

No deficiencies were cited during this visit. An exit interview was conducted with Program Director Holly McNerney, to whom a copy of this report and the Licensee Appeals Rights (LIC9058 03/22) were provided via hard copy.
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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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