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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602704
Report Date: 07/08/2024
Date Signed: 07/08/2024 03:14:42 PM


Document Has Been Signed on 07/08/2024 03:14 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
SAN DIEGO RO, 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:
07/08/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Caregiver Marilu DiazTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Continuation Inspection. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Aster Bezabih. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden in room # 1. The facility had a hospice waiver for two (2) residents.

During the visit the LPA reviewed resident and staff records. A carbon monoxide detector, fire extinguisher, and telephone were present and operational. Per staff, fire rms, nor ammunition were kept at the facility.

The facility was clean, sanitary and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection.

An exit interview was conducted with Administrator Todd Brooks, to whom a copy of this report, and Licensee/Applicant Rights (LIC 9058), were provided.

SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) -76-2351
LICENSING EVALUATOR NAME: Sabel MartinezTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/08/2024
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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