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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603884
Report Date: 08/09/2022
Date Signed: 08/09/2022 03:20:18 PM


Document Has Been Signed on 08/09/2022 03:20 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:RIGHT CHOICE SENIOR LIVING CLAIREMONTFACILITY NUMBER:
374603884
ADMINISTRATOR:TODD BROOKSFACILITY TYPE:
740
ADDRESS:4929 MOUNT LONGSTELEPHONE:
(619) 246-2003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:6CENSUS: 6DATE:
08/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 AM
MET WITH:Administrator, Todd Brooks, and Staff Michael Mcbride and Jasmine ThorntonTIME COMPLETED:
03:30 AM
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Licensing Program Analyst (LPA), Sabel Martinez, visited the facility to conduct an annual required licensing inspection. The LPA was met by Staff, Michael Mcbride, Jasmine Thornton and was granted entry into the facility, after discussing the purpose of the visit, and identifying himself. The Administrator, Todd Brooks, arrived during the visit.

During today's visit, the LPA toured the facility, and verified compliance with infection control practices. The LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply personal protective equipment.

An exit interview was conducted with Administrator, Todd Brooks, to whom a copy of this report, and Licensee Rights (LIC 9058 FAS 01/16) were provided to.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (610) 767-2317
LICENSING EVALUATOR NAME: Sabel MartinezTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2022
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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