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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600800
Report Date: 10/06/2020
Date Signed: 10/06/2020 03:14:10 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:WESLEY PALMSFACILITY NUMBER:
374600800
ADMINISTRATOR:GESKE, BENFACILITY TYPE:
740
ADDRESS:2404 LORING STREETTELEPHONE:
(858) 274-4110
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:511CENSUS: 289DATE:
10/06/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Executive Assistant, Robert RubioTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an unannounced Case Management visit via FaceTime due to COVID-19. LPA identified herself and explained the purpose of the visit with Executive Assistant, Robert Rubio.

Today's visit was in response to a request the Department received to increase the bedridden capacity from 342 to 370 and approved fire clearance received. LPA Hamilton toured the 14 newly approved bedridden apartment homes accompanied by Executive Assistant, Robert Rubio, Executive Director, Ben Geske and Maintenance Manager, Paige Zdy. LPA observed functioning exit doors in each apartment and verified all apartments were in good repair. There were no deficiencies observed during today's visit.

An exit interview was conducted with Executive Assistant, Robert Rubio and Executive Director, Ben Geske and a copy of this report along with Licensee/Appeal Rights (LIC9058 01/16) was provided to Robert Rubio and Ben Geske via email with an electronic read receipt.
SUPERVISOR'S NAME: Tony GirolamiTELEPHONE: (619) 767-2312
LICENSING EVALUATOR NAME: Elizabeth HamiltonTELEPHONE: (619) 929-7590
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2020
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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