<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604100
Report Date: 03/17/2025
Date Signed: 03/17/2025 12:02:56 PM

Document Has Been Signed on 03/17/2025 12:02 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:CASA DEL SOL RTF IIFACILITY NUMBER:
374604100
ADMINISTRATOR/
DIRECTOR:		VASQUEZ, MANUELFACILITY TYPE:
735
ADDRESS:1141 JULIETTE PLTELEPHONE:
(760) 645-3195
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 4CENSUS: 0DATE:
03/17/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Manuel Vasquez, Licensee/AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/17/25 Licensing Program Analyst (LPA) Javina George conducted an unannounced case management health and safety checks visit. LPA met with Licensee, Manuel Vasquez, who was informed of the purpose of the visit. At the time of the visit there are (1) staff and (0) clients present. LPA conducted a tour of the interior and exterior of the home and observed the following:

A tour of the interior and exterior was conducted, and was found clean and the passageways were free from obstruction.

The facility continues to have no clients are placed at the home at this time. The was facility was observed to have operable utilities (gas, water, electric).



The facility continues to have supply of non perishable food items, as there are no clients in care. Licensee Vasquez understands to be prepared to have a 2 day supply of perishable food items, as soon as he is made aware of any potential placement's.


An exit interview was conducted and a copy of the report was reviewed and provided to Licensee Manuel Vasquez.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1