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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603761
Report Date: 05/12/2022
Date Signed: 05/12/2022 03:02:06 PM


Document Has Been Signed on 05/12/2022 03:02 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:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Paulo Ordinanza, LicenseeTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA), Carmen Lopez, made an unannounced visit to the facility to conduct an annual required licensing inspection. LPA identified herself and was granted entry by Rosario Diamat, Caretaker. LPA met with Licensee Paulo Ordinanza and discussed the purpose of today’s visit.

A tour of the facility was conducted inside and out. LPA, accompanied by Licensee Ordinanza, conducted a general overall inspection, with specific focus on infection control protocols.

During today's inspection LPA observations include the following: Symptom screening procedures for staff, residents and visitors; posted signs regarding visitor policy, promoting hand washing, cough and sneeze etiquette and other infection control procedures; Hand hygiene practices is being prompted and done with staff, clients, and visitors; testing plan and procedures; plans for containing infections, PPE supplies procedures and training; and disinfection procedures.

Based on today’s inspection, no deficiencies were observed. An exit interview was conducted with Licensee Ordinanza. A copy of this report, along with the Licensee Rights (01/2016) was provided to Paulo Ordinanza, Licensee at the conclusion of the visit. The signature below confirms the receipt of these documents.

LPA requested Licensee Ordinanza to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500 and Emergency Disaster Plan LIC 610-E to the licensing office within 10 business days. Forms available at www.ccld.ca.gov.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Carmen LopezTELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022
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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