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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601976
Report Date: 10/15/2024
Date Signed: 10/15/2024 11:43:28 AM

Document Has Been Signed on 10/15/2024 11:43 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:DEL MAR PARKFACILITY NUMBER:
198601976
ADMINISTRATOR/
DIRECTOR:		DENISE SUTTONFACILITY TYPE:
740
ADDRESS:990 EAST DEL MAR BOULEVARDTELEPHONE:
(626) 577-0215
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY: 60CENSUS: 57DATE:
10/15/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:13 AM
MET WITH:Denisse Sutton - Administrator TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit to follow up on items needed to be fixed on the physical plant to continue with capacity increase application. LPA met with Denise Sutton and explained the reason for the visit.

On 8/8/24 LPA observed the following: Room #230 was observed currently as a storage, with the closet doors removed, bathroom needs a sink cabinet door, and a toilet seat. Room #208 has a wall with a passageway which will be use for one resident to get to the bathroom and for the other resident to get to the room.

On 10/15/24 LPA observed Room #230 had been cleared, doors have been replaced, and a cabinet door in the bathroom was placed and #208's wall has been reduced and allows both privacy and an open path to the bathroom and closet.

Facility's physical plant meets Title 22 Regulations.

Exit interview was conducted with Denise Sutton and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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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