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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600990
Report Date: 12/07/2023
Date Signed: 12/07/2023 11:10:55 AM

Document Has Been Signed on 12/07/2023 11:10 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:OPPORTUNITIES UNLIMITEDFACILITY NUMBER:
374600990
ADMINISTRATOR:LYS L. BARAWIDFACILITY TYPE:
775
ADDRESS:1718 E. VALLEY PARKWAYTELEPHONE:
(760) 747-5112
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 75CENSUS: 24DATE:
12/07/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:09 AM
MET WITH:Program Manager, Grace WintersTIME COMPLETED:
11:20 AM
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On 12/7/2023, Licensing Program Analyst (LPA) Janette Romero made an unannounced collateral visit at the facility to conduct an interview with Client 1 (C1) in relation to complaint control #18-AS-20231101121922.

LPA was greeted and granted entry by Program Manager (PM), Grace Winters who was informed of the purpose of the visit. LPA conducted a tour of the facility with PM Winters and interviewed C1 at the facility.

During the tour, LPA did not observe any issues or concerns.

An exit interview was conducted where a copy of this report was reviewed and provided to PM Winters.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
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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