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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604859
Report Date: 11/06/2024
Date Signed: 11/06/2024 10:40:30 AM

Document Has Been Signed on 11/06/2024 10:40 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:ALL HANDS RESIDENTIAL CARE HOMEFACILITY NUMBER:
374604859
ADMINISTRATOR/
DIRECTOR:
GELACIO, ROMELFACILITY TYPE:
735
ADDRESS:489 BERLAND WAYTELEPHONE:
(619) 708-8886
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 4CENSUS: 0DATE:
11/06/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Romel Gelacio TIME VISIT/
INSPECTION COMPLETED:
10:58 AM
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Licensing Program Analyst (LPA) Ramon Serrano, conducted an announced Pre-Licensing inspection. LPA met with Licensee Romel Gelacio and we discussed the purpose of the visit. Their were zero clients in care at the time of visit.

LPA conducted a tour of the facility, both inside and outside. There are no pools on site. The smoke and carbon monoxide alarms were present. Toilets intended for client use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, curtains and paint throughout the facility, was observed in good condition. Each room intended for client use had the appropriate furniture, bedding and appropriate lighting. Licensee stated there are no firearms stored on the premises.

The facility was observed to be clean and kempt with no strong malodors. Both hot water temperature and ambient temperature of the facility were at compliant readings. The refrigerator and freezer was observed to be clean and operational, with an ample amount of food to meet client needs. Cleaning solutions were also properly secured in the storage room.

The Component III portion of the application process was completed with Licensee Romel Gelacio today's date as well.

Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted with Romel Gelacio and a copy of this report along with Licensee Rights was provided to Romel Gelacio whose signature below verifies receipt of these.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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