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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603444
Report Date: 02/08/2024
Date Signed: 02/08/2024 11:52:13 AM


Document Has Been Signed on 02/08/2024 11:52 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:OPALEC BOARD AND CAREFACILITY NUMBER:
374603444
ADMINISTRATOR:LEANN COX OPALECFACILITY TYPE:
740
ADDRESS:5638 PLUMAS STREETTELEPHONE:
(619) 434-6366
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 6DATE:
02/08/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Lilia Opalec, LicenseeTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Dawn Segura made an unannounced visit to the facility to conduct a Plan of Correction (POC) visit to confirm that a citation issued on January 24, 2024 has been corrected. LPA was greeted and granted entry by Lilia Opalec, Licensee, and the purpose of today's visit was disclosed.

The following citation has been reviewed:

87303(e)(2) Maintenance and Operation. (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).

During today’s visit, LPA tested the water temperature in a bathroom used by residents and observed the water temperature to measure 109.3 degrees Fahrenheit.

The citation will be cleared as of today’s visit.

This report was discussed with Lilia Opalec, and copies of the report and Licensee Rights (01/2016) were provided to her at the conclusion of the visit. The licensee’s signature on this form acknowledges receipt of copies of the rights and this report.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn SeguraTELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024
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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