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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603761
Report Date: 05/01/2023
Date Signed: 05/01/2023 02:21:15 PM


Document Has Been Signed on 05/01/2023 02:21 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:P & P HOMES INCFACILITY NUMBER:
374603761
ADMINISTRATOR:ORDINANZA, PAULO CFACILITY TYPE:
740
ADDRESS:146 WEDGEWOOD DRIVETELEPHONE:
(619) 292-3640
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:6CENSUS: 5DATE:
05/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Administrator Paulo OrdinanzaTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Paulo Ordinanza.

Today's visit was in response to the self-reported death of Resident #1 (R1) received in the CCLD San Diego Regional Office on 04/28/2023. [See LIC 811 Confidential Names List for a description of R1]. R1 passed away on 04/26/2023.

LPA performed a facility tour / welfare check, spoke with staff, and collected pertinent records. No deficiencies were observed or cited during today's visit.

An exit interview was conducted with Paulo Ordinanza, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit

SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang NguyenTELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023
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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