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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604345
Report Date: 03/07/2022
Date Signed: 03/07/2022 12:40:29 PM


Document Has Been Signed on 03/07/2022 12:40 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:RANCHO DIGIUSFACILITY NUMBER:
374604345
ADMINISTRATOR:MONTES, FROILANFACILITY TYPE:
735
ADDRESS:2445 BROADWAYTELEPHONE:
(858) 717-0346
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:49CENSUS: 29DATE:
03/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH: Froilan Montes, AdministratorTIME COMPLETED:
11:46 AM
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Licensing Program Manager (LPM) Denise Powell and Licensing Program Analyst (LPA) Esther Miller conducted an unannounced case management visit regarding reporting requirements and updating their Plan of Operations. LPM and LPA was granted entry after identifying themselves by Lucina Chavez, Caregiver. LPM and LPA discussed the purpose of the visit with Froilan Montes, Administrator.

During today's visit, LPM and LPA provided additional guidance on following their Plan of Operations and Reporting Requirements. Froilan Montes was advised that the facility's Plan of Operations must be updated to reflect the category of clients served. During a complaint investigation, staff were not able to give LPM and LPA full access to records due to Administrator having sole access to office. Administrator was advised that records must be made available to the Department at all times. During the visit, LPA and LPM were told by staff of various incidents that Administrator admitted to not reporting to the Department. Administrator was given a copy of Title 22, sections 85061 and 80061 regarding reporting requirements.

An exit interview was conducted with Administrator and a copy of this report and Licensee Appeal Rights (LIC9058) were provided to Administrator via electronic mail, following the visit. An electronic mail read receipt confirmation was requested to be sent to LPA upon receipt of the documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Esther MillerTELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2022
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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