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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604718
Report Date: 09/29/2023
Date Signed: 09/29/2023 01:25:38 PM

Document Has Been Signed on 09/29/2023 01:25 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
CCLD Regional Office, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
FACILITY NAME:ALWAYS SUNNY, RAMONA SENIOR DAY CAREFACILITY NUMBER:
374604718
ADMINISTRATOR:YORK, JANNAFACILITY TYPE:
775
ADDRESS:2138 SAN VICENTE RDTELEPHONE:
(760) 654-2818
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 30CENSUS: 0DATE:
09/29/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Janna York, Applicant
Deanna McMahon, Manager		TIME COMPLETED:
11:15 AM
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****Amended Report*********
Component II completion: Successful

Facility Type: Adult Day Care (ADC - seniors)
Application Type: Initial
Capacity: 30 (will be increasing to 60)
Census (if any clients in care): 0
COMP II Participants: Janna York, Applicant/Administrator
Deanna McMahon, Manager
Interview Method: Telephone interview

On September 29, 2023 at 10:10 AM, Applicant/Administrator and manager participated in COMP II. Identification of the Applicant/Administrator and manager was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant/Administrator and manager confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22.

During COMP II, CAB analyst confirmed Applicant/Administrator and manager’s understanding of following areas:
1. Facility Operation: License type, client/resident populations, and program.
2. Admission Policies
3. Staffing Requirements & Training
4. Restrictive/Prohibited Health Conditions
5. General Provisions
6. Emergency Preparedness
7. Complaints & Reporting
8. Pre-licensing Readiness

Exit interview conducted with Applicant/Administrator and manager. Copy of report sent via email and request to return sign copy by end of business day today.

*Amended report to change new capacity request to 60***
SUPERVISORS NAME: Darla Neeley
LICENSING EVALUATOR NAME: Celia Phomphachanh
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2023
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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