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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604705
Report Date: 02/06/2025
Date Signed: 02/06/2025 04:24:42 PM

Document Has Been Signed on 02/06/2025 04:24 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:LOVE FIRST RESIDENCE #2FACILITY NUMBER:
374604705
ADMINISTRATOR/
DIRECTOR:
O'CONNELL, MICHELLEFACILITY TYPE:
735
ADDRESS:7823 BARTON DRTELEPHONE:
(619) 401-1767
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 6CENSUS: DATE:
02/06/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Staff Alexis HernandezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA), Amy Rodgers conducted a case management visit to the facility to follow up on an Incident Report received at Community Care Licensing Division (CCLD) on 2/4/2025. LPA introduced and identified herself and provided the purpose of the visit to Staff Alexis Hernandez and over the phone with House Manger Lenissa Sandoval. During the visit, LPA was able to gather records and interview staff.

It was reported by staff that Client #1 (C1) [See LIC 811 Confidential Names List to identify Client #1] returned from a 15 day hospital stay due to behaviors on 1/30/2025. Upon return,(C1) had bruising on their body, an open bed sore, and reported to staff, having pain in their genitalia area as well as their mouth. C1 was noted by staff wearing an adult brief, which she normally does not wear, as well as displays of agitation and fear.

Licensee staff brought C1 to urgent care and then to the hospital on 1/31/2025 for a welfare check, and C1 returned same day. Licensee staff transported C1 to hospital on 2/4/2025 for wound care and remains in the hospital as of 2/6/2025.

The licensee staff reported incident to SDRC (San Diego Regional Center) as well as APS (Adult Protective Services) on 1/31/2025. According to staff interviews APS as well as SDRC interviewed C1 on 2/4/2025.

No immediate health and safety concerns were observed during today's visit and no deficiencies were cited.

An exit interview was conducted with Hernandez, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058), were emailed to the licensee and house manager.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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