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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604553
Report Date: 12/08/2022
Date Signed: 12/08/2022 03:10:40 PM

Document Has Been Signed on 12/08/2022 03:10 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:GENERATION'S DAY CAREFACILITY NUMBER:
374604553
ADMINISTRATOR:LAWS, MARCIEFACILITY TYPE:
775
ADDRESS:424 LETTON STTELEPHONE:
(513) 226-6349
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 40CENSUS: 30DATE:
12/08/2022
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Maria "Gracy" Martinez, CaregiverTIME COMPLETED:
12:52 PM
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Licensing Program Analyst (LPA) Esther Miller conducted an unannounced collateral visit as part of an investigation into a separate facility. LPA was granted entry after identifying herself. LPA discussed the purpose of the visit with Maria "Gracy" Martinez, Caregiver.

During today's visit, LPA briefly toured the facility and obtained records. LPA observed and interacted with residents. LPA did not observe any deficiencies during today's visit.

An exit interview was conducted with Caregiver and a copy of this report, along with Licensee/Appeal Rights (LIC9058 03/22), were provided.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Esther Miller
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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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