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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600397
Report Date: 07/10/2026
Date Signed: 07/11/2026 12:13:54 AM

Document Has Been Signed on 07/11/2026 12:13 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:LYN'S HOME CARE IIFACILITY NUMBER:
374600397
ADMINISTRATOR/
DIRECTOR:		LYDIA S. ABILLEFACILITY TYPE:
735
ADDRESS:1365 EL LUGAR STREETTELEPHONE:
(619) 427-1830
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 6CENSUS: 6DATE:
07/10/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Caregivers, Victoria Azucena and Pio Azucena. TIME VISIT/
INSPECTION COMPLETED:
08:15 PM
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. LPA reviewed the facility file prior to the visit. Upon arrival, LPA met with caregivers Victoria Azucena and Pio Azucena, who were informed of the purpose of the inspection. Supervisor Pia Abille arrived during the visit.

The facility is licensed for six (6) ambulatory clients. Six (6) clients were present during the inspection, all of whom were ambulatory.



OBSERVATIONS

Physical Plant
LPA toured the interior and exterior of the facility. The facility does not contain a fireplace or open-faced heaters. No toxic substances, chemicals, or hazardous items were accessible to clients. Carbon monoxide and smoke detectors, emergency lighting, night lights, and the facility telephone were operational. The fire extinguisher had been serviced within the past twelve (12) months. The facility does not have delayed-egress doors or a secured perimeter. Required postings were visible. Per Licensee, no firearms or ammunition are maintained on site.

Garage
LPA observed a large amount of furniture, clothing, and miscellaneous household items stored in the garage. Staff reported these items are being prepared for a garage sale later this month, after which they will be sold or donated. [CONTINUED ON LIC 809C
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Marisela Garcia-Centeno
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2026
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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LYN'S HOME CARE II
FACILITY NUMBER: 374600397
VISIT DATE: 07/10/2026
NARRATIVE
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(Continue from LIC809)

Yard Areas
Front and back yards were generally clear of previously observed clutter; however, the backyard area near the pool contained clutter and disorganized items.

Pool Area & Related Hazards
LPA observed the master bedroom used by staff has a sliding door that opens directly to the swimming pool area. The interior bedroom door accessible to clients was unlocked, and staff were unable to locate a key to secure the door.

LPA observed a fence located behind the swimming pool in disrepair. The fence was being supported by various narrow wood pieces smaller than a 2x4, creating an unsafe condition and exposing clients to potentially hazardous clutter beyond the fence.

Client Bedrooms & Bathrooms:
Several client bedrooms contained excessive clothing and general disorganization; soiled bedding was observed. Clients bed linen was observed soiled and in need to be replaced with clean bed sheets. Bathrooms contained dirty floors and shower stalls requiring cleaning. Flooring throughout the facility required sweeping and mopping.

Records & Medications
Confidential client and staff records were stored securely. Centrally stored medications were properly labeled, stored, and secured. Staff training records were up to date. Deficiencies cited during the prior annual inspection were not repeated today.



(Continue at LIC809C)
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Marisela Garcia-Centeno
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC809 (FAS) - (06/04)
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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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LYN'S HOME CARE II
FACILITY NUMBER: 374600397
VISIT DATE: 07/10/2026
NARRATIVE
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(continue from LIC809C)

DEFICIENCIES (LIC 809D)
Deficiencies were cited in accordance with California Code of Regulations, Title 22, Division 6.
One repeat deficiency related to accessible bodies of water, resulting in the assessment of a Zero Tolerance civil penalty of $1,000. This deficiency constituted repeat violations within a 12-month period, resulting in Repeat Civil Penalties.

PLAN OF CORRECTION (POC)
Plans of Correction were developed jointly with Supervisor Pia Abille. Supervisor agreed to:
Replace the staff master bedroom door knob with a locking mechanism within 24 hours and submit proof to LPA.
Correct fencing hazards and remove or secure cluttered areas near the pool.
Clean and reorganize client bedrooms and bathrooms and ensure ongoing facility maintenance.
Ensure yard areas and storage spaces remain free of clutter.

EXIT INTERVIEW
An exit interview was conducted with Supervisor Pia Abille. Copies of the LIC 809D, LIC421, and Licensee/Appeal Rights (LIC9058 03/22) were provided.
NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Marisela Garcia-Centeno
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/11/2026 12:13 AM - It Cannot Be Edited


Created By: Marisela Garcia-Centeno On 07/10/2026 at 06:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LYN'S HOME CARE II
FACILITY NUMBER: 374600397

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80087(e)
Building and Grounds
(e) All licensees serving children or serving clients who have physical handicaps, mental disorders, or developmental disabilities shall ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds or similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,and staff interviews, the licensee failed to ensure a body of water was made inaccessible to clients. LPA observed that the staff master bedroom, which has a sliding door leading directly to the swimming pool area, had an interior door accessible to clients that was unlocked. Staff were unable to locate the key needed to secure the door. This created an immediate health and safety risk to six clients in care.
POC Due Date: 07/11/2026
Plan of Correction
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Supervisor, Pia Abille Replace the staff master bedroom door knob with a locking mechanism within 24 hours and submit proof to LPA. Additional training of staff will be provided and submit documentation of training to LPA by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sabel Martinez
NAME OF LICENSING PROGRAM MANAGER:
Marisela Garcia-Centeno
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2026


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 07/11/2026 12:13 AM - It Cannot Be Edited


Created By: Marisela Garcia-Centeno On 07/10/2026 at 06:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LYN'S HOME CARE II
FACILITY NUMBER: 374600397

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85095.5(a)(2)(A)
Infection Control Requirements
(2) Environmental cleaning and disinfection activities shall be performed following the manufacturers'instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (A) Surfaces such as floors, chairs, toilets, sinks, counters and tabletops shall be cleaned and disinfected on a regular basis to ensure they are safe and sanitary.  These surfaces shall also be disinfected when these surfaces are contaminated and visibly soiled with blood or body fluids or other potentially infectious material. 

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interviews the licensee did not comply with the section cited above. License failed to maintain several areas of the facility clean and disinfected as required by Title 22 regulations. This poses a potential health, and a personal rights risk to six clients in care..
POC Due Date: 08/10/2026
Plan of Correction
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Supervisor, Pia Abille agreed to clean the areas discussed during the inspections, and reorganize client bedrooms and bathrooms and ensure ongoing facility maintenance.
Type B
Section Cited
CCR
80087(a)
Building and Grounds
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interviews the licensee did not comply with the section cited above. Licensee failed to maintain the facility fence in goor repair, remove or secure cluttered areas near the pool.and the clients rooms, kitchen and bathrooms accessible to clients clean which posed a potential health, and personal rights risk to persons in care.
POC Due Date: 08/10/2026
Plan of Correction
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Supervisor, Pia Abille agreed to repair the fence and to clean and disinfect all areas accessible to clients. In addition, to remove or secure cluttered areas near the pool. Additional training of staff will be provided and submit documentation of training to LPA by POC date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sabel Martinez
NAME OF LICENSING PROGRAM MANAGER:
Marisela Garcia-Centeno
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2026


LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 07/11/2026 12:13 AM - It Cannot Be Edited


Created By: Marisela Garcia-Centeno On 07/10/2026 at 06:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LYN'S HOME CARE II
FACILITY NUMBER: 374600397

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85088(c)(4)
Fixtures, Furniture, Equipment, and Supplies
(c) The licensee shall ensure provision to each client of the following furniture, equipment and supplies necessary for personal care and maintenance of personal hygiene. (4) Clean linen in good repair, including lightweight, warm blankets and bedspreads; top and bottom bed sheets; pillow cases; mattress pads; rubber or plastic sheeting, when necessary; and bath towels, hand towels and wash cloths.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interviewthe licensee did not comply with the section cited above. Licensee failed to provide clean sheets and bedding to clients in care. This posed posed a potential health and personal rights risk to persons in care.
POC Due Date: 08/10/2026
Plan of Correction
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Supervisor, Pia Abille agreed to provide clean and fresh linnen to clients in care. Additional training of staff will be provided and submit documentation of training to LPA by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sabel Martinez
NAME OF LICENSING PROGRAM MANAGER:
Marisela Garcia-Centeno
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2026


LIC809 (FAS) - (06/04)
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