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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604681
Report Date: 09/28/2023
Date Signed: 09/28/2023 11:26:50 AM

Document Has Been Signed on 09/28/2023 11:26 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:WINGS RECOVERY CENTER LLCFACILITY NUMBER:
374604681
ADMINISTRATOR:HOSLAR, KATYFACILITY TYPE:
775
ADDRESS:785 GRAND AVE SUITE 101 & 102TELEPHONE:
(858) 220-9519
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 30CENSUS: 13DATE:
09/28/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Autumn Rivers and Cecelia SteinbachTIME COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Autumn Rivers, Client Care Technician (CCT) Manager. Program Director Cecelia Steinbach joined the inspection later.

According to the facility’s license, there may be a maximum of thirty (30) clients at any given time at the day program site, all of whom must be ambulatory. During today’s inspection, there were thirteen (13) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by the Program Director, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies were present. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant with Regulations. Hot water temperature at taps accessible to clients were likewise compliant. The drinking water dispenser dispenses hot and cold water, and had the required warning sign.

[CONTINUED ON LIC809-C]

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Riza Gloria Alvarez
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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: WINGS RECOVERY CENTER LLC
FACILITY NUMBER: 374604681
VISIT DATE: 09/28/2023
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[CONTINUED FROM LIC809]

There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Per the Program Director, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers (3) were serviced within the last 12 months. First aid kits were complete and readily accessible.

LPA interviewed multiple staff present. LPA also reviewed multiple staff and client records/files. The files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. No deficiencies were observed or cited during today's visit.

An exit interview was conducted with Program Director Steinbach, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Riza Gloria Alvarez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023
LIC809 (FAS) - (06/04)
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