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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601395
Report Date: 03/03/2025
Date Signed: 03/03/2025 11:49:58 AM

Document Has Been Signed on 03/03/2025 11:49 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:PARADISE VALLEY MANORFACILITY NUMBER:
374601395
ADMINISTRATOR/
DIRECTOR:		AARON BURRUPFACILITY TYPE:
741
ADDRESS:2575 E. EIGHTH STREETTELEPHONE:
(619) 470-6700
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 50TOTAL ENROLLED CHILDREN: 0CENSUS: 32DATE:
03/03/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:59 AM
MET WITH:Cecilia SalomonTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA), Ramon Serrano, conducted an unannounced collateral visit as a follow-up for an unrelated complaint investigation for another facility. LPA was greeted by the front desk receptionist and then met with Wellness Director Cecilia Salomon, LPA then discussed the purpose of the visit.

During the visit, LPA interacted with residents, interviewed staff and obtained facility records.

An exit interview was conducted with Wellness Director Cecilia Salomon and copy of this report along with Licensee Rights (LIC 9058 3/22) was provided to Wellness Director Cecilia Salomon whose signature below verifies receipt of these rights.
Robyn ClarkTELEPHONE: (619) 767-2312
Ramon SerranoTELEPHONE: (619) 767-2301
DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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