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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602704
Report Date: 02/04/2022
Date Signed: 02/04/2022 03:46:48 PM

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:
02/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:Staff, Dewayne McBrideTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management - Other visit. LPA was greeted and allowed entry into the facility by Staff, Dewayne McBride.

During today's visit, LPA briefly toured the facility. Licensee requested gowns. LPA provided PPE- Gowns. No deficiencies were issued during the visit.

An exit interview was conducted with staff and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to the Licensee via electronic mail. An electronic read receipt 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: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
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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