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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604766
Report Date: 07/02/2024
Date Signed: 07/02/2024 12:28:59 PM

Document Has Been Signed on 07/02/2024 12:28 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:REBECCA'S RETREAT BONITAFACILITY NUMBER:
374604766
ADMINISTRATOR/
DIRECTOR:		ROWE, REBECCAFACILITY TYPE:
775
ADDRESS:3799 VISTA POINTTELEPHONE:
(619) 206-0590
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY: 14CENSUS: 0DATE:
07/02/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Applicant, Rebecca RoweTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an announced Pre-Licensing with the Component III inspection, and to observe the facility’s physical plant for complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted at the front entrance by the Applicant, Rebecca Rowe, and was granted entry after identifying herself and disclosing the purpose of their visit. The facility’s licensee is under the name It’s a Wonderful World, LLC.

The fire clearance was approved on 12/19/2023 and reflected that the facility was approved for an adult day program for the elderly 65 and over. Operating hours are Monday through Friday from 8:30 am to 3:30 pm. Fire clearance was approved for fourteen (14) non-ambulatory clients. Dementia plan submitted. The facility sketch was consistent with the current layout of the facility.

During today’s visit, LPA accompanied by Applicant, Rowe, conducted an overall inspection of the internal and external areas of the facility. There is one (1) bathroom facility for clients to use. Bathroom is equipped with grab bars and non-skid mats or stickers. The facility was clean, sanitary, and in good repair. The toilets, sinks, and showers were in working order. Each window had a screen which was in good condition.

The facility’s ambient internal temperature was comfortable. The wall thermometer was not indicating the current temperature, the applicant stated they were in the process of getting it serviced by the end of the week. Hot water temperature at taps accessible to clients was compliant: the kitchen sink was at 120 degrees.

(continue at LIC809C)
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: REBECCA'S RETREAT BONITA
FACILITY NUMBER: 374604766
VISIT DATE: 07/02/2024
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(continue from LIC809)

All outdoor and indoor pathways were free from obstruction and slip hazards. Fire extinguishers (1) was purchased on November 7, 2023. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were present and operational.

The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and client activities. The facility has no pools or bodies of water that were observed on the facility premises. Per applicant, no firearms or ammunition are or will be stored on the facility premises.

All toxic substances/poisons, and chemicals were stored in inaccessible areas from clients. No fireplaces, and/or open-faced heaters were observed to be accessible to clients.

The facility has locked areas for storage of sharp objects. The facility kitchen was stocked with appropriate cooking items, and knives were locked in a secure cabinet which is inaccessible to clients. A seven (7) day non-perishable and two (2) day perishable food supply was present.

A designated storage lockable area for medications was observed to be available for use. One (1) first aid kit and a manual was present and readily available for use. A secured designated area for client and staff files was also observed to be available in a locked area. Required licensing postings were observed in visible areas of the facility.

LPA discussed continuing operation requirements, record keeping, reporting requirements, and physical plant compliance with the applicant. The items reviewed were compliant with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code.

The Pre-Licensing and Component III inspection was completed during today’s visit. The applicant was advised that the facility is ready for licensure pending management's final review and approval.

An exit interview was conducted with Applicant, Rowe, to whom a copy of this report along with the licensee Appeal Rights was provided at the conclusion of the visit. The signature below confirms receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC809 (FAS) - (06/04)
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