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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604537
Report Date: 10/20/2022
Date Signed: 10/20/2022 12:23:17 PM

Document Has Been Signed on 10/20/2022 12:23 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:P & P HOMES 2FACILITY NUMBER:
374604537
ADMINISTRATOR:ORDINANZA, PAULOFACILITY TYPE:
740
ADDRESS:6434 JOUGLARD STREETTELEPHONE:
(619) 723-9531
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 6CENSUS: 1DATE:
10/20/2022
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Paulo Ordinanza, LicenseeTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to conduct a post-licensing inspection to ensure that the facility is operating in compliance with California Code of Regulations, Title 22, Division 6. LPA introduced herself, disclosed the purpose of the visit and was granted entry into the facility by Jonathan Luciano, caregiver. Licensee Paulo Ordinanza later arrived and joined the visit.

A tour of the facility was conducted inside and out. LPA conducted a general overall inspection, which included, but was not limited to, infection control protocols.

During today's inspection LPA observations include the following: Symptom screening procedures for staff, resident and visitors; posted signs regarding visitor policy, promoting hand washing/hand hygiene practices, cough and sneeze etiquette and other infection control procedures; testing plan and procedures for staff and clients; plans for containing infections, PPE supplies procedures and training; and disinfection procedures. LPA provided updated guidance with current PINs for Resident Cohorting, Isolation and Quarantine, Staffing and Use of Personal Protective Equipment Based on Resident Coronavirus Disease 2019 (COVID-19) Status; and Best Practices for Visitation Related to Coronavirus Disease 2019 (COVID-19) and the Recession of the Statewide Visitation Waiver.

All indoor and outdoor passageways were free from obstructions. The facility’s indoor temperature was 73.6 degrees Fahrenheit. No pools or bodies of water were observed. According to Licensee Ordiananza there are no firearms or ammunition stored in the facility. Cleaning supplies and toxins were locked in the garage and in a locked cabinet in the kitchen. LPA toured resident bedrooms. The rooms had the required furnishings and sufficient lighting. Licensee provided the residents with clean linens, in good repair, and sufficient hygiene products for personal use.
SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: P & P HOMES 2
FACILITY NUMBER: 374604537
VISIT DATE: 10/20/2022
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The facility had functioning carbon monoxide detectors and smoke detectors that met statutory regulations. A one week’s non-perishable food supply is maintained on the property. Perishable food supply is maintained for two days. All food was properly stored and made available for resident. Medications were observed to be labeled and in a locked cabinet that is inaccessible to resident.

Based on today’s inspection, no deficiencies were observed. An exit interview was conducted with Licensee. A copy of this report, along with the Administrator Rights (3/22) was provided to the Licensee at the conclusion of the visit. The signature below confirms receipt of these documents.

LPA requested a current Personnel Report LIC 500 and Designation of Administrative Responsibility LIC 308. The facility has a current Emergency Disaster Plan LIC 610-E filed at the RO. Form are also available at www.ccld.ca.gov.
SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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