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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604411
Report Date: 03/30/2021
Date Signed: 03/30/2021 11:28:13 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:LA MAREA SENIOR LIVINGFACILITY NUMBER:
374604411
ADMINISTRATOR:CORNELL, LAUNAFACILITY TYPE:
740
ADDRESS:5592 EL CAMINO REALTELEPHONE:
(442) 325-3510
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:125CENSUS: 0DATE:
03/30/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director, Launa CornellTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Eva Torres conducted a virtual visit via FaceTime to perform the Pre-licensing inspection, due to COVID-19. LPA identified herself and spoke with Executive Director, Launa Cornell. The purpose of today’s inspection is to ensure that the facility is following the California Code of Regulations, Title 22, Division 6. The facility is approved to serve one hundred twenty-five (125) elderly residents, in which fifteen (15) residents may be bedridden.
During the inspection, LPA observed the facility to be clean, and in good repair with no pathway obstruction. The resident's bedrooms, bathrooms, and the facility's kitchen, as well as the common areas were inspected and found to be compliant. All required postings were posted in the front lobby and throughout the facility. Administrator Certificate expires on 06/25/22. The facility does not have firearms and, or ammunition on the grounds.
The inspection has been completed and Comp III was provided. The Application Bureau was informed of the findings of the inspection, pending their final review and approval of the license.
An exit interview was conducted with Executive Director, Mrs. Cornell, the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to the Executive Director via email. A reply email or return receipt from the Executive Director will confirm receipt of documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 900-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
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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