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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604623
Report Date: 11/29/2022
Date Signed: 11/29/2022 11:13:04 AM

Document Has Been Signed on 11/29/2022 11:13 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:COMFORT CAREFACILITY NUMBER:
374604623
ADMINISTRATOR:CRYE, BELITAFACILITY TYPE:
735
ADDRESS:4152 MISSION AVE.TELEPHONE:
(442) 615-7525
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY: 4CENSUS: 0DATE:
11/29/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Administrator Belita CryeTIME COMPLETED:
11:20 AM
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) Kayla Hilario conducted an announced Pre-Licensing inspection. LPA identified herself, discussed the purpose of the visit, and met with Administrator Belita Crye.

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 client use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, blinds and paint throughout the facility, was observed in good condition. Each room intended for client use had the appropriate furniture, bedding and appropriate lighting. Administrator Crye stated there are no firearms stored on the premises.

Hot water temperature was measured in the facility at 105.0 degrees F. The ambient temperature inside the facility was measured with at 70 degrees F. The facility was observed to be clean and kempt with no strong malodors. 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 Crye on today's date as well. The facility has an appointment to have a telephone landline installed on 12/03/2022. Mobile phones are operational for the facility.

Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted with Administrator Belita Crye. The Applicant was provided with a copy of this report and Appeal/Licensee rights (LIC9058 03/2022) via hardcopy at the conclusion of the visit.
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Kayla Hilario
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2022
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