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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603625
Report Date: 01/09/2024
Date Signed: 01/09/2024 12:27:06 PM


Document Has Been Signed on 01/09/2024 12:27 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
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:STELLAR CAREFACILITY NUMBER:
374603625
ADMINISTRATOR:LINDA CHOFACILITY TYPE:
740
ADDRESS:4518 54TH STREETTELEPHONE:
(619) 287-2920
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:120CENSUS: 76DATE:
01/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Linda Cho, AdministratorTIME COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management visit to amend a report. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Linda Cho, Administrator.

During today's visit, LPA amended a prior complaint investigation report and discussed the changes made with the licensee. Licensee agreed to remove any copies of the prior report they have and replace with the amended report.

No deficiencies were observed or cited during today’s visit.

An exit interview was conducted with Linda Cho, Administrator, to whom a copy of the amended report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2024
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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