374604019-10-25-2024-08-AS-SMAZ-DADNF9-20241025102506

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604019
Report Date: 10/25/2024
Date Signed: 10/25/2024 10:25:09 AM

Document Has Been Signed on 10/25/2024 10:25 AM - 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:	POINT LOMA ELDER CARE		FACILITY NUMBER:	374604019
ADMINISTRATOR/ DIRECTOR:	GAURAV RATHI		FACILITY TYPE:	740
ADDRESS:	3941 LIGGET DRIVE		TELEPHONE:	(619) 255-6448
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92106
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 6	DATE:	10/25/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Adminitrator Gaurav Rathi		TIME VISIT/ INSPECTION COMPLETED:	10:45 AM

NARRATIVE

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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management visit. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Hugo Duran. Administrator Gaurav Rathi arrived during the visit and assisted the LPA.

During the visit, the LPA conducted a tour of the facility, secured report signatures, and delivered amended reports. The LPA also requested training records for staff.

An exit interview was conducted with Rathi, to whom a copy of this report, and the Licensee Appeal Rights (LIC 9058), were provided

Lizzette Tellez	TELEPHONE: (619) -76-2351
Sabel Martinez	TELEPHONE: (619) 767-2301
	DATE: 10/25/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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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