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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 371881560
Report Date: 12/11/2024
Date Signed: 12/11/2024 10:59:58 AM

Document Has Been Signed on 12/11/2024 10:59 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
Lookup Error,
, CA
FACILITY NAME:LIGHTFULLY - ORIONFACILITY NUMBER:
371881560
ADMINISTRATOR/
DIRECTOR:		STEAD, TAYLORFACILITY TYPE:
772
ADDRESS:2292 LUNDY LAKE DRIVETELEPHONE:
(805) 220-0609
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY: 6CENSUS: 5DATE:
12/11/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Director of Clinical Operations Crystal ReaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit.  LPA was greeted by and met with Director of Clinical Operations Crystal Rea, to discuss the purpose of the visit. 

Today's visit is in response to the self reported incident of the facility being used as a planned emergency location for facility Lightfully-Orion.

LPA interviewed staff and conducted a health and safety check for clients. No health or safety issues were identified. No deficiencies were cited or observed on this date. 

An exit interview was conducted with Director of Clinical Operations Crystal Rea, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22).  Their signature confirms receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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