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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600566
Report Date: 10/27/2021
Date Signed: 10/28/2021 08:12:37 AM

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: 136DATE:
10/27/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director of Wellness and Assisted Living, Brittany Quiram Eargle TIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA), Kayla Hilario, and County of San Diego Nurse Contractor, Robert Montillano, conducted an on-site visit. LPA and Nurse identified themselves and discussed the purpose of the visit with Director of Wellness and Assisted Living Brittany Quiram Eargle.

The Department conducted the on-site visit to provide technical assistance and to evaluate the facility's disinfection, screening protocols as well as the use of personal protective equipment. During today's visit, Director of Wellness and Assisted Living, Brittany Quiram Eargle and Executive Director, Leif Cameron were interviewed and a walk-though of the facility was conducted. A debriefing was conducted with the Director of Wellness and Assisted Living at the conclusion of the visit. No deficiencies were issued today.

An exit interview was conducted with the Director of Wellness and Assisted Living and a copy of this report, along with Licensee Rights (LIC 9058 01/16), were provided to the Director of Wellness and Assisted Living via electronic mail. An electronic receipt of confirmation was requested to be sent by the Licensee upon receipt of the documents.
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Kayla HilarioTELEPHONE: 619-481-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021
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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