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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604580
Report Date: 11/21/2024
Date Signed: 11/21/2024 05:10:28 PM

Document Has Been Signed on 11/21/2024 05:10 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:NATURE'S RESIDENCEFACILITY NUMBER:
374604580
ADMINISTRATOR/
DIRECTOR:		ANDRADE, VICTOR JOSE RFACILITY TYPE:
735
ADDRESS:8554 S SLOPE DRIVETELEPHONE:
(619) 499-5150
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: 3CENSUS: 3DATE:
11/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Licensee Victor AndradeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct the required annual licensing inspection. LPA was met by Licensee Andrade, identified herself, was granted entry into the facility, and stated the purpose of today’s visit, to ensure that the facility is in compliance with the California Code of Regulations, Title 22, Division 6.


LPA was accompanied by Licensee Andrade, during a tour of the facility, which was conducted inside and out. The facility temperature was 71 degrees Fahrenheit at the time of the visit. The client bathroom's hot water temperature measured with-in regulation requirements. Disinfectants, cleaning solutions, poisons, and sharp objects were inaccessible to clients in care. All client rooms were equipped with the required furnishings. Client bathrooms were observed to be sanitary and equipped with the required supplies, including grab bars and nonskid flooring in the showers. LPA observed smoke alarms, and carbon monoxide detectors that were in operable condition. Fire extinguishers were present and current on inspections. The facility’s outdoor area was free from obstructions and had a shaded area and sufficient space for activities and visitations. Per Licensee Andrade there are no weapons and/or ammunition housed in the facility, nor does the facility have any bodies of water on the premises.

The facility is stocked with a 2 day supply of perishable and 7 day supply of nonperishable food items. The food was observed properly stored. Medications were stored in a locked cabinet. The facility's last disaster drill was conducted on 11/14/2024. The facility had active liability insurance and a surety bond. LPA observed a sufficient amount of PPE supplies, and a first aid kit and manual.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: NATURE'S RESIDENCE
FACILITY NUMBER: 374604580
VISIT DATE: 11/21/2024
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Staff records reviewed, included criminal clearance and staff responsible for direct care and supervision have required training and current First Aid and CPR certification. Licensee Andrade's Administrator Certificate is current. All client records were present and up to date.

Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted with Licensee Andrade and will be provided with a copy of this report and Licensee/Appeal rights (LIC 9058 01/16), and their signature on this form acknowledges receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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