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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602608
Report Date: 11/13/2023
Date Signed: 11/13/2023 10:10:47 AM

Document Has Been Signed on 11/13/2023 10:10 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SAILS ALEXANDERFACILITY NUMBER:
374602608
ADMINISTRATOR:LAUREN REPICIFACILITY TYPE:
735
ADDRESS:301 JOHAH RDTELEPHONE:
(760) 233-4036
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 4CENSUS: 4DATE:
11/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:FACILITY MANAGER, JESSICA AROSTIME COMPLETED:
10:18 AM
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On November 13, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection. LPA Mixson met with Facility Manager, Jessica Aros, introduced herself, and stated the purpose of the visit.

LPA Mixson toured the facility and inspected the inside and outside of the facility. The facility is a single-story home located at 301 Jonah Rd Escondido, Ca. 92027. The facility phone number is (760) 371-2214, and it is operable. Currently there is one caregiver was present and one caregiver took the four residents to the day program.
Physical Plant: The physical plant is clean, neat, and orderly. Outdoor and indoor passageways are free of obstruction at the time of the inspection. The facility has four bedrooms, and each bedroom has the required furniture, storage space, and sufficient lighting. All Bedrooms rooms were equipped with the required items as per Title 22 regulations. The three bathrooms were neat and clean all utilities were operable, and the hot water temperature was tested and was within regulations. The restrooms were equipped with liquid soap and paper towels. The LPA toured the kitchen, living room and the TV: room.

The kitchen area was clean, organized, and free or odors. All food requirements were met, the seven-day supply of non-perishable, and the two-day supply of perishable. The LPA inspected the common areas, and the laundry room. Smoke detectors were in the green and operable. The fire extinguisher was in the green, and last reviewed for services in 2023. Carbon monoxide alarms, along with smoke detectors were observed, and were operable. Medications: There is a locked and centralized storage area for medications, are medications are ordered through a pharmacy that utilizes bubble packs. Medication were reviewed, and are locked and inaccessible to the residents. The facility had a designated area for resident and staff files, and it was locked. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There was adequate seating in the common areas and sufficient space for activities. The monthly activity calendar, two staff files, four resident files, were reviewed. One interview, with Facility Manger here in the facility was conducted. There were no regulation violations observed during today’s visit. An exit interview was conducted, and a copy of this report was provided to Facility Manager, Jessica Aros.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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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