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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604171
Report Date: 12/21/2022
Date Signed: 12/22/2022 08:40:45 AM


Document Has Been Signed on 12/22/2022 08:40 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
CCLD Regional Office, 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: 59DATE:
12/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator Kandy Franklin,TIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Case Management visit to verify a Plan of Correction. LPA met with Administrator Kandy Franklin, and we discussed the purpose of the visit.

LPA previously conducted a Complaint visit at the facility on 12/14/2022. On that date, two Type B deficiencies were cited. On today's date and upon inspection, the deficiencies cited 87303(a) and 87625(b)(3) were observed to be corrected. These deficiencies have been cleared.

An exit interview was conducted with Administrator Kandy Franklin,. The Licensee was provided a copy of their appeal rights (LIC9058 03/22), this report and their signature on this form, acknowledges receipt of these rights.
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2022
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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