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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602704
Report Date: 01/31/2022
Date Signed: 01/31/2022 11:51:06 AM

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:RIGHT CHOICE SENIOR LIVINGFACILITY NUMBER:
374602704
ADMINISTRATOR:TODD BROOKSFACILITY TYPE:
740
ADDRESS:6354 CASCADE STTELEPHONE:
(619) 246-2003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:6CENSUS: 6DATE:
01/31/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Licensee, Todd BrooksTIME COMPLETED:
10:44 AM
NARRATIVE
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Licensing Program Analyst (LPA), Natasha Persaud and County of San Diego Nurse Contractor, Jennifer West conducted an on-site visit. LPA and Nurse identified themselves and discussed the purpose of the visit with Administrator, Dewayne McBride. Licensee, Todd Brooks arrived during the visit.

The Department conducted the on-site visit to provide technical assistance and to evaluate the facility's disinfection, screening protocols as well as the use of personal protective equipment. During today's visit, Administrator was interviewed and a walk-though of the facility was conducted. A debriefing was conducted with the Administrator and Licensee at the conclusion of the visit. No deficiencies were issued today.

An exit interview was conducted with the Licensee and a copy of this report, along with Licensee Rights (LIC 9058 01/16), were provided to the Licensee via electronic mail. An electronic receipt of confirmation was requested to be sent by the Licensee upon receipt of the documents.
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Natasha PersaudTELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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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