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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603789
Report Date: 11/25/2024
Date Signed: 11/25/2024 01:00:52 PM

Document Has Been Signed on 11/25/2024 01:00 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:LA MESA WORK CENTER ANNEXFACILITY NUMBER:
374603789
ADMINISTRATOR/
DIRECTOR:
SACOCO, DEONNAFACILITY TYPE:
775
ADDRESS:3403 E PLAZA BLVD SUITE HTELEPHONE:
(619) 267-7796
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 40CENSUS: 39DATE:
11/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Instructor/Supervisor Jenny CambalizaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Instructor/Supervisor Jenny Cambaliza. Director Deonna Sacoco later arrived to meet with LPA.

According to the facility’s license, there may be a maximum of forty (40) developmentally disabled adults ages 18 and above; of which fifteen (15) may be non-ambulatory. During today’s inspection facilities census was thirty-nine (39) clients. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Director Sacoco, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Facility does not prepare food on the premises and consumers bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The seclusion room has door and lock, assessable by key
. Hot water temperature at taps accessible to clients were also compliant.

There were no sharp objects or toxic chemicals/poisons accessible to clients. No pools or bodies of water were observed on the premises. Emergency lighting facility telephone, fire extinguishers and first aid kit were present.

LPA conducted interviews, no concerns reported. LPA reviewed multiple staff and client records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility.

No deficiencies were cited during today's annual inspection.

An exit interview was conducted with representative to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2024
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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