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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604477
Report Date: 01/03/2025
Date Signed: 01/03/2025 04:52:05 PM

Document Has Been Signed on 01/03/2025 04:52 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:SCARLETT'S CAREFACILITY NUMBER:
374604477
ADMINISTRATOR/
DIRECTOR:		SORENSON, BRADLEYFACILITY TYPE:
735
ADDRESS:1024 NEPTUNE DRIVETELEPHONE:
(619) 500-5339
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 4CENSUS: 3DATE:
01/03/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Caregiver Valda Santos and House Manager Rzecore "Crown" SorensonTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Welfare Check Visit to correct/amend two (2) reports. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Valda Santos. LPA then met with House Manager Rzecore “Crown” Sorenson, who arrived shortly after.

During today's visit, LPA conducted a Welfare Check on all three (3) clients in care; all were active, healthy, and doing well. LPA also interviewed some staff who were present. Using CCLD's Guardian and Licensing Information System (LIS) databases, LPA also reviewed the background clearance status and association status of all current facility staff.

LPA also formally amended one (1) prior-delivered LIC9099 Complaint Investigation Report and one (1) prior-delivered LIC809 Facility Evaluation Report. LPA discussed the changes that were made with Licensee. Licensee agreed to remove any copies of these prior reports they have, substituting/replacing them with the amended reports.

No deficiencies were observed or cited during today’s visit.

An exit interview was conducted with Rzecore “Crown” Sorenson, to whom a copy of the two (2) amended reports (with amended Confidential Names Lists), this visit report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
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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