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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600566
Report Date: 01/23/2021
Date Signed: 01/23/2021 04:24:34 PM

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:REDWOOD TERRACEFACILITY NUMBER:
374600566
ADMINISTRATOR:LEIF CAMERONFACILITY TYPE:
741
ADDRESS:710 WEST 13TH AVENUETELEPHONE:
(760) 747-4306
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:210CENSUS: 128DATE:
01/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Executive Director, Leif CameronTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Eva Torres conducted a virtual case management visit to amend a report that was created on 07/28/20. LPA Torres met with Executive Director, Leif Cameron, and informed them of the purpose of the visit. During the visit, LPA obtained the signature on the amended report. An exit interview was conducted with the Executive Director, and the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to the Director via email. A reply email or return receipt from the Director will confirm receipt of documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 900-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2021
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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