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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604098
Report Date: 02/14/2024
Date Signed: 02/20/2024 08:21:38 AM

Document Has Been Signed on 02/20/2024 08:21 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:STEP ADULT TRAINING SERVICESFACILITY NUMBER:
374604098
ADMINISTRATOR:RANDALL, JACKFACILITY TYPE:
775
ADDRESS:2308 E 6TH STTELEPHONE:
(619) 267-2468
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 100CENSUS: 76DATE:
02/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Jack Randall, Program CorrdinatorTIME COMPLETED:
10:06 AM
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Licensing Program Analyst (LPAs) Amy Rodgers conducted an unannounced visit to commence a Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Jack Randall.

During today’s visit, LPA briefly toured the facility, reviewed staff and client records, and interviewed staff. No deficiencies were cited during today’s visit. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection.

An exit interview was conducted with Program Coordinator Jack Randall, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
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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