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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604228
Report Date: 01/23/2024
Date Signed: 01/25/2024 05:07:06 PM

Document Has Been Signed on 01/25/2024 05:07 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:SOMERFORD PLACE ENCINITAS ADULT DAY CAREFACILITY NUMBER:
374604228
ADMINISTRATOR:MYERS, HEATHERFACILITY TYPE:
775
ADDRESS:1350 S. EL CAMINO REALTELEPHONE:
(760) 479-1818
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 45CENSUS: 1DATE:
01/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Janelle Harris, Business office managerTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Janelle Harris, Business Office Manager. According to the facility’s license, there may be a maximum of forty-five ambulatory clients.

LPA accompanied by Claudia Miner, Community Relations Director, toured the interior and exterior of the day program facility, which consisted of the recreation room in an RCFE facility. The facility was clean, sanitary, and in good repair. There are multiple hall bathrooms in the facility.

Hand hygiene supplies and Personal Protective Equipment were present. According to interviews, the facility provides snacks as needed. The facility had sufficient space and equipment to facilitate meetings and client activities including arts, crafts, and low impact exercise.

There were no sharp objects or toxic chemicals/poisons accessible to clients. Emergency lighting, and facility telephone were all working. First aid kits were complete and readily accessible in the RCFE medication room.

At the time of inspection, no clients were actively participating in the Adult Day Program. LPA also reviewed multiple staff and one client records/files however client has not been a participant in 2024. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility.

No decencies were cited at the time of visit; however a technical violation was issued.

An exit interview was conducted, this report was discussed with Office Manager Janelle Harris, along with a copy of the Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this for acknowledges receipt and a copy of the report was given to Business Office Manger Harris.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2024
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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