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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604281
Report Date: 07/25/2022
Date Signed: 07/25/2022 11:39:54 AM


Document Has Been Signed on 07/25/2022 11:39 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
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:OAKMONT OF PACIFIC BEACHFACILITY NUMBER:
374604281
ADMINISTRATOR:CAROLINE SENTENOFACILITY TYPE:
740
ADDRESS:955 GRAND AVETELEPHONE:
(858) 373-9300
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:92CENSUS: 79DATE:
07/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Caroline Senteno, Executive Director & Rebecca Casella, Health Services DirectorTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Daniel Pena visited the facility to conduct an annual required licensing inspection which focused on infection control. LPA introduced himself and was granted entry into the facility by Health Services Director, Rebecca Casella. Executive Director, Caroline Senteno later joined LPA and Director Casella. LPA disclosed the purpose of the visit.

During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, clients and visitors and a sign-in policy enacted for visitors. Infection control related signs to promote hand hygiene, cough/sneeze etiquette, symptom and transmission awareness were discussed as well as fit-testing staff for N-95 masks. Staff wore face coverings and hand sanitizer/hand washing stations were readily available. LPA observed an available visitation area and the facility had an ample supply of cleaning products and PPE.

No deficiencies were cited during today’s visit. An exit interview was conducted with Director, Casella and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) was provided at the facility.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel PenaTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2022
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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