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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603127
Report Date: 03/07/2025
Date Signed: 03/07/2025 01:05:25 PM

Document Has Been Signed on 03/07/2025 01:05 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:ARC OF SAN DIEGO-NORTH COUNTY TRAINING CENTER, THEFACILITY NUMBER:
374603127
ADMINISTRATOR/
DIRECTOR:		KRISTEN KACIREKFACILITY TYPE:
775
ADDRESS:1336 RANCHEROS DRIVE, STE 100TELEPHONE:
(760) 740-6800
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: 200CENSUS: 68DATE:
03/07/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Jayne St. John, Supervising Case ManagerTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Seo Jeon arrived unannounced to the facility to conduct a case management visit to check on the health, safety, and welfare of clients in care.

A report was received by the Department from the facility on June 9, 2023 regarding Client #1 (CL1).



LPA met with Jayne St. John, Supervising Case Manager, who allowed LPA entry. LPA was informed that 68 clients currently attend at this facility. There were 22 staff on duty during the time of the visit.

LPA toured the facility and observed all facility utilities to be on and operating without issues. LPA conducted three (3) client file reviews. LPA interviewed four (4) staff members and three (3) clients. There are no immediate concerns for clients in care. LPA determined no additional follow-up visits are required.

No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6.

An exit interview was conducted where a copy of this report was discussed with and provided to Jayne St. John.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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