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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603724
Report Date: 01/14/2025
Date Signed: 01/16/2025 12:17:22 PM

Document Has Been Signed on 01/16/2025 12:17 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:MONARCH COTTAGES LA JOLLAFACILITY NUMBER:
374603724
ADMINISTRATOR/
DIRECTOR:
JESTER, RISAFACILITY TYPE:
740
ADDRESS:7630 FAY AVENUETELEPHONE:
(858) 924-8530
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY: 52TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
01/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Cognitive Enrichment Director Alycia PrichardTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Cognitive Enrichment Director Alycia Prichard. The facility was licensed for a capacity of fifty two (52) non-ambulatory residents, of which eight (8) may be bedridden. The facility also had a hospice waiver approved for twelve (12) residents, and approved delayed egress throughout the facility.

The LPA, accompanied by staff, toured the interior and exterior of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Bedrooms contained the required furnishing and lighting was observed throughout. The signal/call buttons and delayed egress was tested and observed to be operational. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored.
The were no toxic chemicals accessible to residents and medications were labeled and locked

No pools, nor bodies of water were observed on the premises. Per staff, no firearms nor ammunition were kept at the facility. Fire extinguisher(s) were present. Required licensing postings were observed in visible areas of
the facility.

The LPA conducted interviews and reviewed facility records. No deficiencies were cited during today's annual inspection.

An exit interview was conducted with Cognitive Enrichment Director Alycia Prichard, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058), were provided.
Lizzette TellezTELEPHONE: (619) -76-2351
Sabel MartinezTELEPHONE: (619) 767-2301
DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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