374604718-10-12-2023-08-AS-DNGN-CWJUVT-20231012155540

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374604718
Report Date: 10/12/2023
Date Signed: 10/12/2023 03:56:14 PM

Document Has Been Signed on 10/12/2023 03:56 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	ALWAYS SUNNY, RAMONA SENIOR DAY CARE		FACILITY NUMBER:	374604718
ADMINISTRATOR:	YORK, JANNA		FACILITY TYPE:	775
ADDRESS:	2138 SAN VICENTE RD		TELEPHONE:	(760) 654-2818
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY: 60		CENSUS: 0	DATE:	10/12/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Applicant's Representatives, Janna York and Deanna McMahon		TIME COMPLETED:	04:15 PM

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Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the day program’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representatives, Janna York and Deanna McMahon.

The facility fire clearance was granted on 10/03/2023 and reflected that the day program facility was approved for sixty (60) residents in total, of which all may be non-ambulatory but none may be bedridden. The fire clearance did not include endorsements for delayed-egress doors or secured perimeter, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility.

During today’s visit, LPA, accompanied by the applicant’s representatives, toured the interior and exterior of the day program facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Toilets and sinks were in working order. The facility’s ambient internal temperature was complaint at 75 degrees F. Hot water temperature at taps accessible to residents were also compliant: Common Area sink was 119.1 F, Men's Bathroom sink was 119.5 F, Women's Bathroom sink was 119.3 F, and Kitchen sink was 120 F.

The day program facility has enough perishable and non-perishable food for future resident use. All kitchen appliances were in working order. Refrigerator temperature was 35 F, and freezer temperature was 0 F.

[CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ALWAYS SUNNY, RAMONA SENIOR DAY CARE	FACILITY NUMBER: 374604718
	VISIT DATE: 10/12/2023

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[CONTINUED FROM LIC 809]

The facility has sufficient space and equipment to facilitate visitation, meetings, and resident activities. The facility has locked areas for storage of medication and confidential resident and staff records.

No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant’s representatives, no firearms or ammunition are or will be stored at the facility.

Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguishers were serviced within the last 12 months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility.

The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection.

LPA also provided the Component III Training during today’s visit. York and McMahon were advised that the facility’s application is pending management final review and approval.

An exit interview was conducted with the applicant’s representatives, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC809 (FAS) - (06/04)

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