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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604492
Report Date: 01/20/2022
Date Signed: 01/21/2022 08:06:35 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:DIAMOND CARE RCFEFACILITY NUMBER:
374604492
ADMINISTRATOR:MELTON, MARK ALLANFACILITY TYPE:
740
ADDRESS:1784 FOOTHILL VIEW PLTELEPHONE:
(760) 442-7507
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:6CENSUS: 5DATE:
01/20/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Administrator Mark Melton and Jean MeltonTIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Sabel Martinez, conducted a scheduled Pre-licensing inspection to observe the physical plant for compliance and conduct Comp III. The facility is undergoing a change of ownership. The fire department completed their inspection 11/3/21. Facility is approved for six (6) residents. Bedroom one (1) is approved for ambulatory only. Bedrooms 2,3,4,5, and 6 are approved for non-ambulatory.

LPA was greeted by Administrator Mark Melton and Jean Melton. LPA was granted entry after identifying himself and disclosing the purpose of the visit. An overall tour of the facility was conducted inside and out. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of residents in care and staff, including in the area of infection control practices.

LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and residents; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE. The facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. LPA discussed with the applicant continuing operation requirements, record keeping, reporting requirement and physical plant compliance.

The Pre-licensing and Component III were completed on today's date. Facility is ready for Licensure pending management approval. This is a change of ownership application and there are five (5) residents currently in care. An exit interview was conducted with Administrator Mark Melton, and Jean Melton. A copy of this report along with Applicant/Appeal Rights (LIC9058 01/16) were emailed to Administrator Mark Melton. An electronic email read receipt confirms the documents were received.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (610) 767-2317
LICENSING EVALUATOR NAME: Sabel MartinezTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
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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