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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604171
Report Date: 05/06/2024
Date Signed: 05/06/2024 12:16:46 PM


Document Has Been Signed on 05/06/2024 12:16 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: 65DATE:
05/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Administrator Jared GreenTIME COMPLETED:
12:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Rebecca Ruiz conducted a plan of correction visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Interim Wellness Director Jenna Purnell. LPA met with Administrator Jared Green.

The purpose of the visit was to verify if the deficiencies issued on 3/29/2024 had been corrected. On 3/29/2024, the licensee was issued multiple deficiencies with a correction due date of 4/29/2024. As of today’s date, 5/6/2024, the licensee has not submitted proof of correction to the Department.

During today’s visit, LPA Ruiz observed residents in care and spoke with Administrator and Interim Wellness Director. Per Administrator and Interim Wellness Director, the report that LPA Ruiz provided the previous Wellness Director on 3/29/2024 was not provided to the Administrator, and both individuals were not aware of the POC due date. Additionally, the previous Wellness Director's last day working at the facility was 4/15/2024. LPA Ruiz provided Administrator with an LIC178 and granted a POC due date extension for the deficiencies cited on 3/29/2024. The new POC due date is 5/31/2024.

An exit interview was conducted with Interim Wellness Director Jenna Purnell and Administrator Jared Green, whose signature below confirms receipt of a copy of this report, the LIC178, and the Licensee Appeal Rights (LIC9058 3/22).
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Rebecca A RuizTELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:
DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/06/2024
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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