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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600276
Report Date: 02/12/2024
Date Signed: 02/12/2024 02:54:49 PM


Document Has Been Signed on 02/12/2024 02:54 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:CASA DE CASTROFACILITY NUMBER:
374600276
ADMINISTRATOR:CHERYL M. CASTROFACILITY TYPE:
740
ADDRESS:5581 CHATTANOOGATELEPHONE:
(619) 267-3934
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 6DATE:
02/12/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Julia AbastillasTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced case management visit to clear Plans of Correction. LPA identified herself, was granted entry into the facility, and met with Julia Abastillas, Staff, to whom she disclosed the purpose of the visit.

LPA previously conducted a required annual inspection visit at the facility on 01/16/2024. On that date, Type B deficiencies were cited. On today's date, the deficiencies previously cited under sections 87309(a) and 87705(f)(1) of Title 22 Regulations and 1569.618(c)(3) of the Health and Safety Code are being cleared as having been corrected. Additional deficiencies that were cited under 87608(a)(1) and 1569.311 and plans of correction that were previously due and submitted to Community Care Licensing by the POC due date were cleared during today's visit as well.

An exit interview was conducted with Julia Abastillas, to whom copies of this report and Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn SeguraTELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2024
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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