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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601634
Report Date: 01/24/2024
Date Signed: 01/24/2024 11:00:27 AM


Document Has Been Signed on 01/24/2024 11:00 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:MOUNTAIN VIEW HEALTHCAREFACILITY NUMBER:
374601634
ADMINISTRATOR:SONYA KARPALFACILITY TYPE:
740
ADDRESS:1404 JAMACHA ROADTELEPHONE:
(619) 588-8045
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:6CENSUS: 0DATE:
01/24/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Administrator Sonya KarpalTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Iby Strong conducted a case management visit. LPA Strong identified herself and explained the process of the facility closure with Administrator Sonya Karpal.

During the closure visit, LPA toured the facility and did not observe any residents present. On today's visit, LPA collect facility license. All resident had been relocated as of July, 2023. As of today, no deficiencies were issued and the facility is considered closed.

An exit interview was conducted with Administrator Sonya Karpal and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 03/22) were provided.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024
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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