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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604418
Report Date: 03/03/2025
Date Signed: 03/03/2025 03:54:02 PM

Document Has Been Signed on 03/03/2025 03:54 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:EL CERRITO ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
374604418
ADMINISTRATOR/
DIRECTOR:		WESNER, PAULFACILITY TYPE:
735
ADDRESS:4593 EL CERRITO DRIVETELEPHONE:
(619) 980-7043
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 4CENSUS: 3DATE:
03/03/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Administrator Randy Hill and Licensee Paul WesnerTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA) conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with licensee Paul Wesner. According to the facility’s license, the facility has a maximum capacity of four (4) clients During today’s inspection, there were a total of three (3) clients in care.

LPA, accompanied by licensee Wesner, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature at taps accessible to clients were all compliant.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.

[CONTINUED ON LIC 809-C]
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: EL CERRITO ADULT RESIDENTIAL FACILITY
FACILITY NUMBER: 374604418
VISIT DATE: 03/03/2025
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(Continue from LIC809)

Medications were labeled, as required and stored in locked areas. Confidential client and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors and emergency lighting were all working. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

LPA interviewed staff present during the visit and reviewed staff and client records. LPA staff interviews did not raise any licensing concerns. The clients' files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The administrator presented proof of current/active business liability insurance and surety bond as required by Title 22 regulations.

No deficiencies were cited or observed on this date.


An exit interview was conducted with Licensee/ Administrator Wesner. A copy of this report was provided and their signature on this report confirms receipt.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025
LIC809 (FAS) - (06/04)
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