<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603600
Report Date: 12/20/2019
Date Signed: 12/20/2019 04:02:28 PM

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:GLEN AT SCRIPPS RANCH, THEFACILITY NUMBER:
374603600
ADMINISTRATOR:KLINE, MEEGANFACILITY TYPE:
741
ADDRESS:9800 GLEN CENTER DRIVETELEPHONE:
8584448500
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:403CENSUS: 138DATE:
12/20/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Executive Director, Meegan KlineTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management visit. LPA met with Executive Director, Meegan Kline and Human Resources Director, Lisa Moss to discuss a Case Closure regarding a Criminal Record Clearance regarding Individual #1 and Individual #2.

On 12/13/19, Community Care Licensing (CCL) received documentation regarding a Case Closure for a Criminal Record Exemption involving Individual #1. In addition, on 12/18/19, CCL received documentation regarding a Case Closure for a Criminal Record Exemption involving Individual #2. Today, LPA confirmed with Executive Director that both individuals were never hired or on the premises. No deficiencies were issued.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) was provided to Executive Director, Meegan Kline whose signature below confirms receipt of these rights.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Natasha PersaudTELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1