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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603716
Report Date: 03/14/2024
Date Signed: 03/14/2024 06:54:13 PM


Document Has Been Signed on 03/14/2024 06:54 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:SCHARD'S HOUSEFACILITY NUMBER:
374603716
ADMINISTRATOR:SCHARD, VICTOR GFACILITY TYPE:
740
ADDRESS:8701 MESA ROAD 70TELEPHONE:
(619) 334-8546
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:3CENSUS: 3DATE:
03/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Licensee Victor SchardTIME COMPLETED:
01:39 PM
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Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself to Licensee Victor Schard and explained the purpose of the visit. The facility is licensed to three (3) clients of whom all three (3) must be ambulatory.

During today’s visit, LPA Correia, accompanied by Licensee Schard, toured the interior of the facility. LPA observed the interior of the facility to be sanitary and in good repair. LPA observed required postings, fire extinguisher was up to date, and smoke alarms and carbon monoxide detectors were present and operable. All clients bedrooms had the required furnishings, including padded mattress covers. Toilet and shower were in working order, including non-skid flooring and grab bars. The facility’s ambient internal temperature was 70 F. The facility had an adequate supply of clean linens.

An overall inspection of the facility began today. However, due to time constraints LPA was unable to complete the visit and will return later to conduct the remaining portion of this inspection.



No deficiencies were cited during today's visit. This report was discussed with Licensee Schard. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2024
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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