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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604347
Report Date: 12/07/2020
Date Signed: 12/07/2020 11:56:08 AM

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:SUNSET COAST ASSISTED LIVINGFACILITY NUMBER:
374604347
ADMINISTRATOR:TAPIA, PATRICIAFACILITY TYPE:
740
ADDRESS:808 THERMAL AVETELEPHONE:
(619) 882-5003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:4CENSUS: 0DATE:
12/07/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Vanessa NunezTIME COMPLETED:
12:01 PM
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Licensing Program Analyst (LPA) Kennedy conducted a Prelicensing/Component III Visit via video calling app due to COVID-19 restrictions to observe the physical plant for compliance. The LPA was was joined by Patricia Tapia, administrator. Also present was Vanessa Nunez. The LPA was provided with a virtual tour of the physical plant and observed by the LPA were resident accommodations including furnishings, linens and personal hygiene items; resident bathrooms were equipped with grab bars, and non-skid bath mats; resident and staff and administrative records are to be located in a locked cabinet in the living room; food service including dishes, utensils, food storage and a seven day supply of nonperishables and a two day supply of fresh perishables are present; toxic substances are stored and locked in the locked garage in a locked cabinet; medication storage and administration logs are located in a locked medication cart in the kitchen; first aid kit and current first aid manual are located in the kitchen; activities, supplies and sufficient space to conduct are present; a fire extinguisher is affixed with a current tag; smoke and carbon monoxide detectors are present and operable; facility posting requirements are present in a common area and the facility administrators certification is current; there is no pool or other body of water on the property; per the administrator there are no guns, weapons or ammunition located on the property. Discussed with Ms. Tapia and Ms. Nunez were continuing operation requirements, record keeping and physical plant compliance. The applicant shall contact the Centralized Application Unit (CAU) for completion of this pending facility application.

An exit interview was conducted with Vanessa Nunez, financial officer. via video-call. A copy of this report along with Licensee Rights (LIC9058 01/2016) was provided to via email. An electronic response confirms the documents were received.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020
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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