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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602601
Report Date: 03/05/2024
Date Signed: 03/05/2024 04:24:54 PM

Document Has Been Signed on 03/05/2024 04:24 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SORRENTO ARF CORP.FACILITY NUMBER:
374602601
ADMINISTRATOR:OBAR, HECTORFACILITY TYPE:
735
ADDRESS:5072 CORTE ALACANTETELEPHONE:
(760) 721-3890
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY: 4CENSUS: 3DATE:
03/05/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:House Manager Ramil MacaspacTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Rebecca Ruiz conducted a plan of correction visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to House Manager Ramil Macaspac.

The purpose of the visit was to verify if the deficiency issued on 2/21/2024 had been corrected. On 2/21/2024, the licensee was issued a deficiency regarding over-capacity with a correction due date of 2/22/2024.

During today’s visit, LPA Ruiz reviewed clients' physician's reports and verified that the licensee corrected the deficiency regarding over-capacity for non-ambulatory clients by the due date of 2/22/2024.

An exit interview was conducted with House Manager Ramil Macaspac, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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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