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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602050
Report Date: 07/07/2023
Date Signed: 07/10/2023 10:03:05 PM

Document Has Been Signed on 07/10/2023 10:03 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
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:INDEPENDENT OPTIONS/ADVANCED OPTIONS SAN DIEGOFACILITY NUMBER:
374602050
ADMINISTRATOR:LISA STEVENSONFACILITY TYPE:
775
ADDRESS:302 ENTERPRISE ST SUITE CTELEPHONE:
(760) 743-7193
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY: 36CENSUS: 28DATE:
07/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:06 PM
MET WITH:Lisa StevensonTIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) Cheryl Goodrich conducted an unannounced annual visit. LPA met with the Program Director Lisa Stevenson at the front door and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. The facility is licensed for thirty-six (36) ambulatory participants and a maximum of eight (8) non-ambulatory. The facility currently has 28 participants, 2 of which are non-ambulatory and 2 with wheelchairs but ambulate.
Infection Control Plan: The facility has an approved infection control plan and infection control training documents have been provided. The facility’s infection control plan has been made available to both staff and clients.
Physical Plant: front entrance, interior and surrounding exterior were clean and in good repair with no pathway obstruction; facility temperature read at 69 degrees; lunchroom sink water temperature read at 112.4 degrees; there were no bodies of water on premises; there was sufficient lighting for 1 Lunch room, 5 class rooms, an AO Store, Relaxation room, Exercise room, lockers, washer and dryer for independent living training, and computer room; fire alarm and smoke carbon monoxide detectors were in working order.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Cheryl Goodrich
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: INDEPENDENT OPTIONS/ADVANCED OPTIONS SAN DIEGO
FACILITY NUMBER: 374602050
VISIT DATE: 07/07/2023
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There were 14 smoke detectors and 3 fire extinguishers that were fully discharged and in working order. Facility does not house firearms and/or ammunition on grounds. The cleaning supplies in a locked janitorial room by the bathroom located near the south part of the building.

Food Services: All staff and participants bring their own lunch. The facility provides snacks for the participants. The facility also has an emergency supply of non-perishable food for all 28 participants for 3 days.

Medication/Facility Records: Medications were observed to be labeled and in a locked place that is inaccessible to residents. All staff subject to a criminal record review obtained fingerprint clearance and/or an exemption. Staff responsible for direct care and supervision have current First Aid / CPR training. The facility has completed written admission agreements, current medical assessmenst and needs and service plan with each participant. All required postings were posted throughout the facility, facility medication/medication logs were reviewed, and participants’ medications were inspected for dispensing according to physician’s orders. The facility handles no resident cash resources.


Summary: No deficiencies are being cited per Title 22, Division 6. An exit interview was conducted, and a copy of this report will be emailed Monday July 10, 2023 provided to the Program Director Lisa Stevenson and her signature on this form confirms the review of the report.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Cheryl Goodrich
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC809 (FAS) - (06/04)
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