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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604638
Report Date: 01/11/2023
Date Signed: 01/11/2023 11:01:06 AM

Document Has Been Signed on 01/11/2023 11:01 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 CARE 2FACILITY NUMBER:
374604638
ADMINISTRATOR:CRYE, BELITAFACILITY TYPE:
735
ADDRESS:1767 IVY ROADTELEPHONE:
(442) 266-2992
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 4CENSUS: 0DATE:
01/11/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Administrator Belita CryeTIME COMPLETED:
11:05 AM
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Licensing Program Analyst, Kayla Hilario, conducted an announced Pre-Licensing inspection. LPA identified herself, discussed the purpose of the visit, and met with Administrator Belita Crye,

The Licensee has purchased an evacuation chair as required by Health and Safety Code Section 1565(f)(1). Pre-Licensing is complete with no deficiencies. An exit interview was conducted with Administrator Belita Crye. A copy of this report and Appeal/Licensee rights (LIC9058 01/16) were provided via hardcopy at the conclusion of the visit.
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Kayla Hilario
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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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