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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600619
Report Date: 01/28/2025
Date Signed: 01/28/2025 02:42:07 PM

Document Has Been Signed on 01/28/2025 02:42 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:LEICHTAG FAMILY ASSISTED LIVING RESIDENCEFACILITY NUMBER:
374600619
ADMINISTRATOR/
DIRECTOR:		CARL MEASERFACILITY TYPE:
740
ADDRESS:211 SAXONY ROADTELEPHONE:
(760) 632-0081
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 77TOTAL ENROLLED CHILDREN: 0CENSUS: 54DATE:
01/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Memory Care Director David Pinto, Assisted Living Director Mary FawellTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit.  LPA was greeted by and met with Memory Care Director David Pinto and Assisted Living Director Mary Fawell to discuss the purpose of the visit. 

Today's visit is in response to the facility's self-reported incident regarding a resident who claimed they had missing money and jewelry.

LPA conducted a wellness check at the facility; no health or safety issues were identified. No deficiencies were cited or observed on this date. 

An exit interview was conducted with Memory Care Director David Pinto and Assisted Living Director Mary Fawell to discuss the purpose of the visit., who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.
Jennifer LottTELEPHONE: (619) 346-3976
Nacole PattersonTELEPHONE: (619) 767-2301
DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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