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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602117
Report Date: 03/18/2025
Date Signed: 03/18/2025 11:58:26 AM

Document Has Been Signed on 03/18/2025 11:58 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:TOMAS RESIDENTIAL CAREFACILITY NUMBER:
374602117
ADMINISTRATOR/
DIRECTOR:
NORMA TOMASFACILITY TYPE:
740
ADDRESS:6344 JOUGLARD STTELEPHONE:
(619) 773-6091
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
03/18/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Abraham D. Tomas, Licensee, and Norma Tomas, AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself and was granted entry by Licensee Abraham Tomas. LPA discussed the purpose of the visit with Licensee Tomas and Administrator Norma Tomas who joined the visit.

According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. It was noted that the facility did have a dementia plan on file. During today’s inspection, the facility’s current census is three (3) residents living at the facility. There were 3 residents present at the facility site during the inspection.


LPA, accompanied by Licensee Tomas, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 68 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: the kitchen sink measured hot water at 115.5 degrees F; sink in restroom #1 delivered hot water at 105.4 degrees F; and sink in restroom #2 delivered hot water at 117.7 degrees F.

At least 2 days of perishable food and at least 7 days of non-perishable food were present. Cooking, dining equipment, and utensils were present and safely stored. No toxic chemicals or poisons were accessible to residents.

[CONTINUED ON LIC 809-C]
Robyn ClarkTELEPHONE: (619) 767-2312
Carmen LopezTELEPHONE: (619) 767-2301
DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: TOMAS RESIDENTIAL CARE
FACILITY NUMBER: 374602117
VISIT DATE: 03/18/2025
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[CONTINUED FROM LIC 809]

No pools or bodies of water on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working.

Due to time constraints, LPA will need to return and complete this facility’s annual inspection. No deficiencies were cited during today's visit.

An exit interview was conducted with Administrator Norma Tomas to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.
SUPERVISOR'S NAME: Robyn ClarkTELEPHONE: (619) 767-2312
LICENSING EVALUATOR NAME: Carmen LopezTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
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