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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600800
Report Date: 05/22/2023
Date Signed: 05/22/2023 11:01:21 AM


Document Has Been Signed on 05/22/2023 11:01 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
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: 311DATE:
05/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Executive Director Justin WebberTIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Iby Strong conducted a case management visit to deliver an amended report. LPA met with Executive Director Justin Webber informed him of the purpose of the visit, and was granted entry.

Today's visit is to deliver an amended report from complaint visit conducted on 04/25/2023. All staff present have a current criminal record clearance.

The amended report was reviewed with Executive Director Justin Webber and signatures were obtained. An exit interview was conducted, Appeal Rights (LIC 9058 03/22) along with a copy of this report was provided to Executive Director Justin Webber.
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2023
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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