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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604171
Report Date: 05/22/2024
Date Signed: 05/23/2024 07:35:43 AM


Document Has Been Signed on 05/23/2024 07:35 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: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:
05/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Business Office Manager Amanda Pepin-LaphenTIME COMPLETED:
09:30 AM
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
Licensing Program Analyst (LPA) Iby Strong conducted a plan of correction visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Business Office Manager Amanda Pepin-Laphen.

The purpose of the visit was to issue LIC421FC for ongoing civil penalties. On 5/17/24, the licensee was issued a duplicate deficiency for a violation in California Code of Regulations Section 87411(c)(1) originally issued on 11/3/23 . As of yesterday, 5/21/24, Executive Director provided LPA with proof of correction. Based on such information, a civil penalty of $100 per day from 5/18/24 until 5/21/24 was assessed.

An exit interview was conducted with Business Manager Amanda Pepin-Laphen, whose signature below confirms receipt of a copy of this report, the LIC421FC, and the Licensee Appeal Rights (LIC9058 3/22).
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2024
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