374600619-3-27-2026-08-AS-AGOH-DRM37J-20260224170001

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374600619
Report Date: 02/24/2026
Date Signed: 03/27/2026 09:59:37 AM

Document Has Been Signed on 03/27/2026 09:59 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:	LEICHTAG FAMILY ASSISTED LIVING RESIDENCE		FACILITY NUMBER:	374600619
ADMINISTRATOR/ DIRECTOR:	CARL MEASER		FACILITY TYPE:	740
ADDRESS:	211 SAXONY ROAD		TELEPHONE:	(760) 632-0081
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY: 77		CENSUS: 67	DATE:	02/24/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:10 AM
MET WITH:	Executive Director Carl Measer, Assisted Living Director Mary Fawell, and Memory Care Director David Pinto		TIME VISIT/ INSPECTION COMPLETED:	05:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director Carl Measer, Assisted Living Director (ALD) Mary Fawell, and Memory Care Director (MCD) David Pinto. The facility's license shows a maximum capacity of seventy-seven (77) non-ambulatory residents, nine (9) of which may be bedridden. Bedridden residents may only reside in building E, rooms #1-9. In addition, the facility is approved for a hospice waiver for twenty (20). During today’s inspection there were sixty-seven (67) residents in care. Currently, the facility has five (5) residents receiving hospice services. Note, LPA did step out for lunch from 12:20-1:20pm. LPA and ALD Fawell toured the interior and exterior of the Assisted Living (AL) building, inspecting common areas and a sample of occupied resident rooms. LPA then toured the interior and exterior of the Memory Care (MC) building with MCD Pinto. Both buildings of the facility were clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: One common bathroom sink in the AL building was 108.8F, and two private resident sinks in the MC building read at 108.2F and 107.7F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. [Continued on LIC 809-C]

NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Arian Golbakhsh
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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: LEICHTAG FAMILY ASSISTED LIVING RESIDENCE	FACILITY NUMBER: 374600619
	VISIT DATE: 02/24/2026

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[Continued from LIC 809]

The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Both buildings feature satellite kitchens, and the main kitchen/food storage is on a different area of the campus. LPA examined the kitchens and noted food items in those areas were all safely stored. LPA observed dining staff transporting food items from the main kitchens to the satellite ones to prepare for lunch. Cooking, dining equipment, and utensils were present. Knives were noted to be in areas locked and inaccessible to residents.

No toxic chemicals or poisons were accessible to clients. LPA and ALD Fawell spoke briefly on medication administration and best practices. Medications in both buildings were labeled, as required, and stored in locked areas. The outdoor courtyard of the AL building does feature a large koi pond with a water-fountain feature, however it is fenced off. Per ALD Fawell, Memory Care residents or other residents at risk if given access to such bodies of water are accompanied by staff if in the area. There is a small water fountain in the yard of the MC building, however it has been adjusted not to feature standing water, mitigating risk for residents.

Per both ALD Fawell and MCD Pinto, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire panel in the MC building was last inspected by the local fire department in January 2026. Fire extinguishers were serviced within the last 12 months, also dated for January 2026. Last staff emergency drill was conducted on 12/20/25 and 12/24/25 (different shifts) for the topic of fire. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility, however in the AL building there was no posting of resident personal rights. Per ALD Fawell, they had been taken down to be reframed due to updates to the building months prior. A Technical Violation (TV) was issued and consultation provided regarding required licensing postings.

LPA interviewed one (1) staff and two (2) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with ALD Fawell to whom a copy of this report, LIC 9102 (TV), and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

NAME OF LICENSING PROGRAM MANAGER: Sabel Martinez
NAME OF LICENSING PROGRAM ANALYST: Arian Golbakhsh
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

LIC809 (FAS) - (06/04)

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