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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600890
Report Date: 12/16/2024
Date Signed: 12/17/2024 06:57:23 AM

Document Has Been Signed on 12/17/2024 06:57 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:ATRIA COLLWOODFACILITY NUMBER:
374600890
ADMINISTRATOR/
DIRECTOR:		JULIA LOPEZFACILITY TYPE:
740
ADDRESS:5308 MONROE AVETELEPHONE:
(619) 286-3583
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 185CENSUS: 96DATE:
12/16/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Executive Director Julia LopezTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct a case management annual continuation visit to continue the annual inspection commenced on December 5, 2024. LPA was granted entry into the facility by Receptionist George Tellez, and met with Executive Director (ED) Julia Lopez to whom was disclosed the purpose of the visit.

During today’s visit, LPA Correia, accompanied by ED Lopez, conducted a facility tour.

Based on today's continuation of the inspection, no deficiencies are being cited at this time in the areas evaluated. An exit interview was conducted, and this report was discussed with ED Lopez. Copies of the report and Licensee Appeal Rights will be provided at the conclusion of the visit, and her signature on this form acknowledges receipt of the rights and a copy of the report.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE: DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2024
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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