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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600872
Report Date: 02/28/2024
Date Signed: 02/28/2024 01:27:27 PM


Document Has Been Signed on 02/28/2024 01:27 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:OCEAN VIEW HOMES IIIFACILITY NUMBER:
374600872
ADMINISTRATOR:ALICIA MILLANFACILITY TYPE:
740
ADDRESS:6602 AVENIDA MIROLATELEPHONE:
(858) 551-2736
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:6CENSUS: 4DATE:
02/28/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Administrator Alicia MillanTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Alice Millan.

LPA briefly toured the facility and performed a health and safety welfare check on residents in care, finding no safety concerns. LPA also spoke with the administrator and provided general education on the following regulations: CCR 87224 and HSC 1569.683.

No deficiencies were observed or cited during this visit.

An exit interview was conducted with Millan, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang NguyenTELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024
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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