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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372008105
Report Date: 05/05/2025
Date Signed: 05/05/2025 03:16:15 PM

Document Has Been Signed on 05/05/2025 03:16 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:LEARNING SERVICES ESCONDIDO-ADULT RESIDENTIALFACILITY NUMBER:
372008105
ADMINISTRATOR/
DIRECTOR:
BAER, KATHRINFACILITY TYPE:
735
ADDRESS:2335 BEAR VALLEY PARKWAYTELEPHONE:
(760) 746-3223
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 28CENSUS: 19DATE:
05/05/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Bill Aweeney, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On 5/5/25 Licensing Program Analyst (LPA) Javina George made an unannounced 1 year required visit. LPA was granted entry and met with Administrator, Kathrin Baer and Operations Manager Uriel Neis who was informed of the purpose of the visit. At the time of the visit there was (7) staff and (18) clients present. The facility is licensed to serve clients served are between the ages of 18-59 who have been diagnosed with a neurological handicap, of which all may be non ambulatory.

The facility is a single story structure consisting of with (10) bedrooms and (5) bathrooms. The facility is comprised of two (2) buildings that are adjacent to one another and housed on the same lot as the day program (372008307). There are no pools, bodies of water, or known guns being kept at the facility. The facility consists of TV room, staff office, Laundry room and lounge area, in addition to the dining area as well as the kitchen. The facility has an added therapeutic tool, as a therapy dog has been contracted. Therapeutic services are being offered Tuesday-Friday.

During today's visit LPA randomly tested the pull cords in client bedrooms and observed for them to be operable, as well as staff responding within 2 minutes. The facility is equipped for fully charged fire extinguishers. The food supply met with minimum of a 2 day supply of perishables and a 7 day supply of non perishable food items. LPA observed for there to be expired food items consisting of (1) box of pudding and (4) cans of enchilada sauce. The items were discarded at time of the visit therefore no citations were issued. The facility was observed to be clean and the passageways were from any obstructions. The hot water measured to be be at 119.8 degrees Fahrenheit. The medications are stored in a locked medication cart inside the locked medication room. The facility is conducting emergency disaster drills on a quarterly basis, the last drill conducted was on 03/27/25. The facility annual fees that were due on or before 5/23/25 were paid during today's visit.

NAME OF LICENSING PROGRAM MANAGER: Anthony Perez
NAME OF LICENSING PROGRAM ANALYST: Javina George
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: LEARNING SERVICES ESCONDIDO-ADULT RESIDENTIAL
FACILITY NUMBER: 372008105
VISIT DATE: 05/05/2025
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A records review of client files was conducted and the files had the necessary assessments and appraisals. The staff files contained the required paperwork, staff files reviewed revealed staff to have CPR certification. The administrator Kathrin Baer renewed her administrator certification and it is currently going through the renewal process.

Based on today's inspection there were no deficiencies issued.

An exit interview was conducted and a copy of this report was reviewed and provided to Bill Acweeny, Program, Director.

NAME OF LICENSING PROGRAM MANAGER: Anthony Perez
NAME OF LICENSING PROGRAM ANALYST: Javina George
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC809 (FAS) - (06/04)
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