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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604491
Report Date: 08/29/2023
Date Signed: 08/29/2023 11:35:14 AM

Document Has Been Signed on 08/29/2023 11:35 AM - 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:RW DUNWOOD LLCFACILITY NUMBER:
374604491
ADMINISTRATOR:PEREZ,ANGELFACILITY TYPE:
735
ADDRESS:7552 DUNWOOD WAYTELEPHONE:
(808) 859-1629
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 4CENSUS: 4DATE:
08/29/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Wilson Weed, LicenseeTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Carmen Lopez opened a complaint investigation and in conjunction conducted a case management visit. LPA Lopez identified herself and was granted entry by caregiver Rebecca Regala. LPA Lopez stated the purpose and reviewed basic elements of the case management visit with Licensee Wilson Weed.

LPA reviewed Title 22, Division 6, Chapter 1, Section 80069 Client Medical Assessment; Chapter 6, Sections 85068.2 Needs and Services Plan; Section 85069.3 Modifications to Needs and Service Plan; and 85068.5 Eviction Procedures. No deficiencies were cited during to day's visit.

An exit interview was conducted with Licensee Wilson Weed and technical advisories were provided per Title 22, Division 6, Chapter 1 and Chapter 8 of the California Code of Regulations (see LIC9102). A copy of this report along with the Licensee Appeal Rights (LIC9058 03/22) were provided to Licensee Weed at the conclusion of the visit. The signature below confirms the documents were received.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2023
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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