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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604661
Report Date: 03/17/2025
Date Signed: 03/18/2025 08:16:19 AM

Document Has Been Signed on 03/18/2025 08:16 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:EMPOWER NEUROREHABFACILITY NUMBER:
374604661
ADMINISTRATOR/
DIRECTOR:		BELL, KATIEFACILITY TYPE:
775
ADDRESS:8996 MIRAMAR RD SUITE 301TELEPHONE:
(760) 688-0601
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 6CENSUS: 0DATE:
03/17/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licensee, William BernaldoTIME VISIT/
INSPECTION COMPLETED:
10:02 AM
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. Licensee, William Bernaldo was present but unavailable for inspection. LPA was directed to contact Administrator, Katie Bell.

Administrator stated she was home sick and did not have an available employee to conduct the inspection. Administrator also stated there are currently no day program clients enrolled. The program also has an outpatient component for therapy. Today, Licensee, Bernaldo had an appointment with a non-client for out patient services and unable to conduct the inspection. Another visit will be conducted at a later date. No health and safety concerns were noted.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, William Bernaldo whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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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