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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604810
Report Date: 07/08/2024
Date Signed: 07/08/2024 11:33:19 AM

Document Has Been Signed on 07/08/2024 11:33 AM - 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:SUNRISE WEST #2FACILITY NUMBER:
374604810
ADMINISTRATOR/
DIRECTOR:		MENEFEE, ASHLEEFACILITY TYPE:
735
ADDRESS:161 MARSDEN CTTELEPHONE:
(619) 441-5982
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 6CENSUS: 6DATE:
07/08/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:47 AM
MET WITH:Ashlee Menefee, AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Renita Hall conducted an announced pre-licensing visit change of ownership. LPA was allowed entry by Ashlee Menefee.  LPA identified herself and disclosed the purpose of the visit.

This report summarizes the pre-licensing visit due to change of ownership at Sunrise West #2.  The visit aimed to assess the facility's readiness for operation and compliance with the state's licensing requirements for adult residential facilities. This will be an adult residential facility that can accommodate 6 residents, (4 ambulatory and 2 non-ambulatory). The facility includes 5 bedrooms, 2.5 bathrooms, a kitchen, a dining area, a living room, and an outdoor recreational space.

During the visit, LPA met with the Administrator. Staff have completed the required training and certifications. They demonstrated a clear understanding of their roles and responsibilities. The facility has implemented  safety measures, including fire extinguishers, smoke detectors, and emergency exit signs. The facility also had bathrooms with handrails and non-slip flooring. The facility's emergency evacuation plan is posted in a visible location and has been granted fire clearance.
Continued on 809C
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
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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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: SUNRISE WEST #2
FACILITY NUMBER: 374604810
VISIT DATE: 07/08/2024
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The facility had developed detailed policies and procedures that cover resident admission, care planning, medication management, incident reporting, and resident rights. These policies and procedures are in line with state regulations and best practices in the field. The facility offers nutritious meals, recreational activities, and assistance with personal care. The bedrooms are spacious and well-lit, and the common areas are clean.

With the change of ownership,  residents were not relocated. LPA confirmed tenants at the facility. The facility is ready to be licensed, pending management approval. An exit interview was conducted with Administrator , to whom copy of this report, and the Applicant/Appeal Rights (LIC9058), were provided.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC809 (FAS) - (06/04)
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