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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604728
Report Date: 12/24/2024
Date Signed: 12/24/2024 01:58:01 PM

Document Has Been Signed on 12/24/2024 01:58 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:CHANGING OPTIONS - FARMFACILITY NUMBER:
374604728
ADMINISTRATOR/
DIRECTOR:		JENNIE ALSHOUSEFACILITY TYPE:
735
ADDRESS:276 W OLD JULIAN HWYTELEPHONE:
(714) 224-0826
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 6CENSUS: 6DATE:
12/24/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Manager Rachael HurtadoTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management visit. The LPA was allowed entry to the facility by Manager Rachael Hurtado, to whom the purpose of the visit was disclosed.

This was a collateral visit. Accompanied by staff, the LPA conducted a tour of the interior and exterior of the facility. The LPA reviewed the facility client roster. At the time of the visit, the clients were all at day program. No deficiencies were observed, nor cited on today's date.

An exit interview was conducted with Manager Rachael Hurtado, to whom a copy of this report, and Licensee Rights (LIC 9058), were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 12/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/24/2024
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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