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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604171
Report Date: 12/12/2023
Date Signed: 12/12/2023 04:29:34 PM


Document Has Been Signed on 12/12/2023 04:29 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:LO-HAR SENIOR LIVINGFACILITY NUMBER:
374604171
ADMINISTRATOR:DUCHARME-FRANKLIN, KANDYFACILITY TYPE:
740
ADDRESS:768 DOROTHY STTELEPHONE:
(619) 444-8270
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:68CENSUS: 64DATE:
12/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Wellness Director Jenna PurnellTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Iby Strong conducted a Case Management Visit on today’s date. LPA met with Wellness Director Jenna Purnell and discussed the purpose of the visit.

On 12/11/2023 the RO received notification from the Licensee that the facility had a fire. There are six (6) buildings on the property. The fire was reported to occur in Building B, room 8. According to staff present, at approximately 8:45am, the facility fire alarms went off. Staff immediately evacuated 20 of the residents residing in this building. All 20 residents of this building were accounted for and were brought to the adjacent buildings on the property. Local fire and police arrived. Local fire department provided all clear of fire at approximately 1:00 PM.

During today's visit, LPA conducted a health and safety check on the residents in care and observed the room where the fire took place. The room was clean and damaged furnishings have been replaced.

No deficiencies were cited or observed on this date. An exit interview was conducted. The Licensee will be provided a copy of the Licensee/Appeal Rights (LIC9058 03/22).
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023
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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