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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604606
Report Date: 02/16/2023
Date Signed: 02/16/2023 11:24:42 AM


Document Has Been Signed on 02/16/2023 11:24 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:FAMILY COMFORT CAREFACILITY NUMBER:
374604606
ADMINISTRATOR:MORALES, BELLA AMOR D.FACILITY TYPE:
740
ADDRESS:2579 ARUNDEL AVE.TELEPHONE:
(760) 814-3579
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:6CENSUS: 0DATE:
02/16/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Applicant Bella Amor MoralesTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Tammer De Los Santos conducted an announced Pre-Licensing inspection. LPA identified himself, discussed the purpose of the visit, and met with Applicant Bella Amor D. Morales.

LPA conducted a tour of the facility, both inside and outside. There are no pools on site. The smoke and carbon monoxide alarms were present. Toilets intended for resident use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, blinds, and paint throughout the facility, were observed in good condition. Each room intended for resident use had the appropriate furniture, bedding, and appropriate lighting.

Applicant stated there are no firearms stored on the premises.

Hot water temperature was measured in the facility at 112 degrees F. The refrigerators and freezers were observed to be clean and operational, with an ample amount of food to meet client needs. Cleaning solutions were also properly secured.

The Component III portion of the application process was completed with Applicant Bella Amor D. Morales on today's date as well.

Pre-Licensing is complete, and this facility has no deficiencies. An exit interview was conducted with Applicant Bella Amor D. Morales, and copies of this report and Licensee Rights (LIC 9058) were provided at the conclusion of the visit. Applicant’s signature on this form acknowledges receipt of the rights and a copy of the report.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Tammer DeLosSantosTELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023
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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