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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604434
Report Date: 08/28/2023
Date Signed: 08/28/2023 05:17:02 PM

Document Has Been Signed on 08/28/2023 05:17 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:GALINDO HOME CARE INC.FACILITY NUMBER:
374604434
ADMINISTRATOR:TORRES, ERNESTINAFACILITY TYPE:
735
ADDRESS:3447 LAS VEGAS DRTELEPHONE:
(442) 266-2914
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 3CENSUS: 3DATE:
08/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Co-Administrator Princess TorresTIME COMPLETED:
05:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to observe the physical plant. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Co-Administrator Princess Torres.

On 06/21/2023, the Licensee submitted an LIC200 Application to the CCLD San Diego Regional Office (RO) to amend the facility's floor plan, along with an updated facility sketch. The changes involved turning the facility's "Play Room" (as it was described in the prior sketch) into a staff bedroom. It also involved designating a different staff room as a client bedroom

On 08/10/2023, the local fire authority granted an updated fire clearance, showing that the facility's updated staff and client bedroom designations were approved. The facility's total capacity remained unchanged at three (3) clients, all of whom must be ambulatory.

During today’s visit, LPA conducted a brief tour of the facility to view each of the bedrooms. The bedrooms were large enough to allow for easy passage and comfortable use; they contained required furnishings.



The updated facility sketch/floor plan was consistent with the current layout of the facility. No deficiencies were observed or cited during today's visit. This portion of the application process is complete.

An exit interview was conducted with Torres, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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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