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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603402
Report Date: 02/13/2025
Date Signed: 02/13/2025 11:16:52 AM

Document Has Been Signed on 02/13/2025 11:16 AM - 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:FREDERICKA MANORFACILITY NUMBER:
374603402
ADMINISTRATOR/
DIRECTOR:
BEN GESKEFACILITY TYPE:
740
ADDRESS:183 THIRD AVENUETELEPHONE:
(619) 205-4100
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 560TOTAL ENROLLED CHILDREN: 0CENSUS: 276DATE:
02/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Corinna NortonTIME VISIT/
INSPECTION COMPLETED:
11:26 AM
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit.  LPA was greeted by and met with Director of Resident Services Corinna Norton, to discuss the purpose of the visit. 

Today's visit is in response to the self reported incident of Resident 1 (R1 - see LIC811 Confidential Names List) received by Community Care Licensing on 02/10/2025. According to the LIC624, R1's POA reported that they withdrew $800 dollars from the bank on 12/17/24. On 1/18/25 they both noticed that all of the cash was missing. POA further stated that anywhere from $200 to $300 was spent by R1, which meant $500 to $600 dollars was missing. The facility conducted an internal investigation and filed a police report with Chula Vista Police Department, incident #12894.

LPA interviewed R1 and obtained facility records. No deficiencies were cited or observed on this date. 

An exit interview was conducted with Corinna Norton, who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents
Robyn ClarkTELEPHONE: (619) 767-2312
Ramon SerranoTELEPHONE: (619) 767-2301
DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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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