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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604132
Report Date: 02/26/2025
Date Signed: 02/27/2025 07:25:25 PM

Document Has Been Signed on 02/27/2025 07:25 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:RUSSELL HOMES INC SANTEEFACILITY NUMBER:
374604132
ADMINISTRATOR/
DIRECTOR:		MCKNIGHT COLE, TRACYFACILITY TYPE:
735
ADDRESS:10214 THREE OAKS WAYTELEPHONE:
(619) 938-2667
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: 4CENSUS: 4DATE:
02/26/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Administrator Krista DuvallTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced required Annual Inspection. LPA Correia was met at the facility by Administrator Krista Duvall, identified herself, was granted entry, and discussed the purpose of today’s visit.

There is Licensed for a total of four (4) clients all of whom must be ambulatory. During today’s inspection, the facility’s current census is 4 clients living at the facility. There were no clients present at the facility site during the inspection.

LPA, accompanied by Administrator Duvall, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and supplies to facilitate dining, laundry, visitation, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 75 degrees Fahrenheit. Hot water temperature at faucets used by clients measured at 110.1 degrees Fahrenheit

[Continued on LIC 809C]
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: RUSSELL HOMES INC SANTEE
FACILITY NUMBER: 374604132
VISIT DATE: 02/26/2025
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[Continuation of LIC 809]

There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to clients. Medications were properly labeled, as required, and stored.
No pools or bodies of water on the premises. Per Administrator Duvall, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present (01) and serviced. First aid kit(s) and manual were complete and readily accessible.

At this time, due to time constraints the annual inspection will be completed at a later date. During today's annual inspection there were no deficiencies observed or cited.

An exit interview was conducted with Administrator Duvall to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) will provided at the conclusion of the visit. The signature below confirms the documents were received
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC809 (FAS) - (06/04)
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