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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603579
Report Date: 11/06/2024
Date Signed: 11/06/2024 06:12:04 PM

Document Has Been Signed on 11/06/2024 06:12 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:ESPERANZA'S HOMES OF HOPEFACILITY NUMBER:
374603579
ADMINISTRATOR/
DIRECTOR:		SABRINA SNYDERFACILITY TYPE:
735
ADDRESS:13706 WHISPERING MEADOWS LANETELEPHONE:
(619) 825-6159
CITY:JAMULSTATE: CAZIP CODE:
91935
CAPACITY: 6CENSUS: 6DATE:
11/06/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Samantha Martin, Facility ManagerTIME VISIT/
INSPECTION COMPLETED:
06:15 PM
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Licensing Program Analyst (LPA) Carmen Lopez conducted a Case Management visit to deliver an Amended Report for a visit conducted on 10/29/2024 and to conduct a health and safety check. LPA Lopez met with Samantha Martin, Facility Manager and informed them of the purpose of her visit.

During today’s visit, LPA obtained Facility Manager’s signature on the amended report LIC 9099 dated (10/29/2024) and conducted client and staff interviews.

An exit interview was conducted and a copy of this report along with the Licensee’s Rights (LIC 9058 03/22) was provided to Facility Manager Samantha Martin at the conclusion of the visit. The signature on this form confirms receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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