374604609-11-7-2023-08-AS-MGCO-CXDA2P-20231107225038

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604609
Report Date: 11/07/2023
Date Signed: 11/07/2023 10:53:14 PM

Document Has Been Signed on 11/07/2023 10:53 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:	CASA ALEGRE II		FACILITY NUMBER:	374604609
ADMINISTRATOR:	ARAGONA, LINDA JEANNE		FACILITY TYPE:	735
ADDRESS:	1586 IONIAN STREET		TELEPHONE:	(619) 429-3702
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92154
CAPACITY: 2		CENSUS: 2	DATE:	11/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator, Linda Aragona		TIME COMPLETED:	02:10 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) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by Administrator, Linda Aragona, to whom she disclosed the purpose of the visit. According to the facility’s license, the facility has a maximum capacity of two (2) ambulatory clients. During today’s inspection, there were a total of two (2) clients in care, of which both were ambulatory. Both clients in care were out in the community and not available for interviews. The facility does not feature a secured perimeter or delayed egress doors. LPA Garcia-Centeno was accompanied by the licensee while touring the interior and exterior of the facility. In addition, the clients’ shared room was inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The clients’ bedroom contained the required furnishings. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range. During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to clients was within regulatory range. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required and stored in locked areas. Continue at LIC809

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023

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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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: CASA ALEGRE II	FACILITY NUMBER: 374604609
	VISIT DATE: 11/07/2023

NARRATIVE

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(continue from LIC809)

Confidential client and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The fire extinguisher was serviced within the last 12 months. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

LPA interviewed staff present at the facility. No clients were interviewed as they were not present during the visit. LPA reviewed staff and client records. LPA interviews did not raise any licensing concerns. The client files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The licensee presented proof of current/active business liability insurance and surety bond as required by Title 22 regulations. LPA provided technical advisory regarding keeping personnel records updated with mandatory training completed.

No deficiencies were cited or observed on this date.

The Licensee was provided a copy of her appeal rights (LIC9058 01/16). An exit interview was conducted with Administrator, Linda Aragona, and a copy of this report was provided at the end of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023

LIC809 (FAS) - (06/04)

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