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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600451
Report Date: 11/03/2022
Date Signed: 11/03/2022 04:56:00 PM


Document Has Been Signed on 11/03/2022 04:56 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:POMERADO MANORFACILITY NUMBER:
374600451
ADMINISTRATOR:PHILIP CHENNFACILITY TYPE:
740
ADDRESS:16031 POMERADO ROADTELEPHONE:
(858) 673-1969
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:15CENSUS: 11DATE:
11/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Frank Ramirez, AdministratorTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Esther Miller conducted an unannounced annual required inspection on today's date. LPA was greeted at the front door and granted entry by Frank Ramirez, Administrator, after identifying herself and disclosing the purpose of the visit. Yayoi Quinlan, Office Manager, was also present.

LPA has known for over a year that the facility is in the process of changing ownership. Administrator stated that an application to change ownership was submitted on September 2021 and managed by Bethany, Centralized Applications Bureau (CAB) Analyst.

CAB Analyst contacted him months after the application was submitted with additional requirements. Administrator could not complete the requirements in the time allotted, closing the application around May or June 2022.

Currently, an application has not been resubmitted. Administrator has contacted the fire department to do an independent fire clearance to ensure that the facility will pass. Administrator is also waiting on a contractor to fix a window that was deemed an issue during the application process. Administrator will attempt to resubmit an application to the Department by February or March 2023.

No deficiencies were observed during today's visit. An exit interview was conducted with Administrator and a copy of this report along with Licensee/Appeal Rights (LIC9058) were provided.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Esther MillerTELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
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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