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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603190
Report Date: 01/22/2025
Date Signed: 01/22/2025 03:27:29 PM

Document Has Been Signed on 01/22/2025 03:27 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:ACTIVCARE AT BRESSI RANCHFACILITY NUMBER:
374603190
ADMINISTRATOR/
DIRECTOR:		MCDONALD, JASONFACILITY TYPE:
740
ADDRESS:6255 NYGAARDTELEPHONE:
(760) 603-9999
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 80TOTAL ENROLLED CHILDREN: 0CENSUS: 70DATE:
01/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Executive Director Jason McDonaldTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit.  LPA was greeted by and met with Executive Director Jason McDonald to discuss the purpose of the visit. 

Today's visit is in response to the self reported incident for Resident 1, who suffered injuries from an unknown source.

LPA conducted a wellness check at the facility; no health or safety issues were identified. No deficiencies were cited or observed on this date. 

An exit interview was conducted with Executive Director Jason McDonald, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.
Jennifer LottTELEPHONE: (619) 346-3976
Nacole PattersonTELEPHONE: (619) 767-2301
DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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