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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604244
Report Date: 02/13/2024
Date Signed: 02/13/2024 01:11:10 PM

Document Has Been Signed on 02/13/2024 01:11 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
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:ROCKVIEW ARFFACILITY NUMBER:
374604244
ADMINISTRATOR:AGUIAR, RUBIELAFACILITY TYPE:
735
ADDRESS:8238 ROCKVIEW DRTELEPHONE:
(619) 992-3373
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 4CENSUS: 4DATE:
02/13/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Rubiela Aguiar, Administrator/LicenseeTIME COMPLETED:
11:45 PM
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Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by Rubiela Aguiar, Licensee/Administrator. LPA identified himself and provided the purpose of the visit and was permitted inside the facility. According to the license, the facility serves four (4) ambulatory clients, age range 18-59. There were no clients present on the day of the inspection.

During the inspection, LPA toured the interior and exterior of the facility and observed each client's room. The facility was organized, kempt and in good repair. Pathways inside the property were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.

There were at least two days of perishable food, and at least seven days of non-perishable food present, all safely stored and dated. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas.

No pools or bodies of water were observed on the premises. Per Ms. Aguiar, no firearms or ammunition are kept at the facility. Carbon monoxide detector, emergency lighting, and facility telephone were all working. Fire extinguisher was present. First aid kit was observed and readily accessible. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured in the client restrooms and the kitchen recorded within Title 22 Regulations. LPA interviewed staff and reviewed client and staff records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained the required documents. The facility had an Infection Control Plan and LPA did not note concerns. Confidential records were stored in locked areas.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: ROCKVIEW ARF
FACILITY NUMBER: 374604244
VISIT DATE: 02/13/2024
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No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with Ms. Aguiar, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
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