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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372004831
Report Date: 02/29/2024
Date Signed: 03/01/2024 09:00:56 AM


Document Has Been Signed on 03/01/2024 09:00 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:OCEAN VIEW HOMES, INC.FACILITY NUMBER:
372004831
ADMINISTRATOR:MAHIN BANAYANFACILITY TYPE:
740
ADDRESS:6432 EL CAMINO DEL TEATROTELEPHONE:
(858) 459-9260
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:6CENSUS: 3DATE:
02/29/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Administrator, Alicia MillanTIME COMPLETED:
06:00 PM
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Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced Plan of Correction visit. LPA was allowed entry into the facility by Staff, Bob Gorospe. Administrator, Alicia Millan arrived during the visit.

On 01/11/24, an Annual Required visit was conducted and deficiencies along with civil penalties were issued. On 02/02/24, the administrator, Alicia Millan submitted a request for an extension to complete the deficiencies cited to be completed by 02/15/24. The exception was approved through new correction date of 02/15/24.

Today, LPA toured the facility, facility repairs were being worked on during today's visit. The following deficiencies have not been corrected: A current administrator appointed to the facility; Resident appraisal; Emergency and disaster training for staff; and No disaster drill conducted. Civil penalties are being issued for failure to correct and will be ongoing until corrected.

No new deficiencies were issued today. Civil penalties were issued. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Alicia Millan whose signature below confirms receipt of these rights.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha PersaudTELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:
DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/29/2024
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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