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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604347
Report Date: 08/17/2021
Date Signed: 08/17/2021 12:36:07 PM

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:
08/17/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee, Patricia TapiaTIME COMPLETED:
11:40 AM
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Licensing Program Manager (LPM), John Rante and LIcensing Program Analyst (LPA), Marisela Garcia- Ceteno conducted a Case Management visit regarding an increase in capacity application. LPM and LPA identified themselves and discussed the purpose of the visit with Licensee, Patricia Tapia and Administrator, Vanessa Nunez.

Licensees applied for an increase in capacity from four (4) ambulatory residents to six (6) non-ambulatory residents. There is an approved Fire Clearance dated 06/01/2021 for the increase in capacity and non-ambulatory status. As of today, there are no residents in care. LPM and LPA toured the facility and a had a discussion with the licensees regarding operation.

LPM and LPA toured the physical plant and observed resident accommodations including furnishings, linens and personal hygiene items; resident bathrooms are equipped with cleaning products and paper towels; toxic substances are stored in a locked cabinet in the garage; medication storage and administration logs are to be located in a locked cabinet; sufficient space to conduct activities was present; facility posting requirements were present in a common area; the facility administrators certification was current; no pool or other body of water is present on the facility grounds; per the Administrator there are no guns, weapons or ammunition located on the property. Discussed with Administrator Tapia continuing operation requirements, record keeping and physical plant compliance.

No deficiencies were issued during this visit.

An exit interview was conducted with Licensee, Patricia Tapia, and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to the Administrator via email. An electronic read receipt confirmation was requested to be sent by Administrator, Tapia upon receipt of the documents.
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Marisela Garcia-CentenoTELEPHONE: (619) 323-4834
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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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