<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604587
Report Date: 09/09/2022
Date Signed: 09/09/2022 05:38:01 PM

Document Has Been Signed on 09/09/2022 05:38 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:OASIS VILLAGE CARE #2FACILITY NUMBER:
374604587
ADMINISTRATOR:SAHID, RAMLAFACILITY TYPE:
735
ADDRESS:12712 ROBISON BLVD.TELEPHONE:
(619) 727-7335
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 4CENSUS: 0DATE:
09/09/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Ramla Sahid, AdministratorTIME COMPLETED:
03:03 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Esther Miller conducted an announced pre-licensing visit to follow-up on a previous pre-licensing visit that was conducted on September 8, 2022 to observe the facility’s physical plant for compliance with Title 22, Division 6 of California Code of Regulations and Health & Safety Code. LPA was granted entry and met with Ramla Sahid, Administrator.

During today's visit, LPA toured the facility and observed the water temperature in bathroom measured at 110.5, 110.3, and 109.9 degrees Fahrenheit. LPA observed locked cabinets and closets in which hazardous and/or toxic chemicals will be stored and secured. All unlocked cabinets did not have any hazardous and/or toxic chemicals. Ample and appropriate storage was present to store perishable food items, with refrigerator measuring at 28.1 degrees Fahrenheit. Required postings were observed in visible areas of the facility. LPA observed a sign-in book 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.

Item reviewed during today's visit is in compliance with Title 22, Division 6 of California Code of Regulations, and applicant has passed the pre-licensing inspection. Applicant was advised that the application is pending management final review and approval. This report was discussed with the applicant, and copies of the report and Applicant Rights (LIC9058) were provided to the applicant at the conclusion of the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Esther Miller
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2022
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 1