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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600276
Report Date: 10/21/2024
Date Signed: 10/21/2024 01:35:03 PM

Document Has Been Signed on 10/21/2024 01:35 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:CASA DE CASTROFACILITY NUMBER:
374600276
ADMINISTRATOR/
DIRECTOR:
CHERYL M. CASTROFACILITY TYPE:
740
ADDRESS:5581 CHATTANOOGATELEPHONE:
(619) 267-3934
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY: 6CENSUS: 5DATE:
10/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:18 PM
MET WITH:Maria Ligaya SunguadTIME VISIT/
INSPECTION COMPLETED:
01:59 PM
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit.  LPA was greeted by and met with Caregiver Maria Ligaya Sunguad, to discuss the purpose of the visit. 


Today's visit was in response to Administrator’s self-reported death of Resident #1 (R1), received at the CCLD San Diego Regional Office on 10/21/2024. [See LIC 811 Confidential Names List for a description of R1]. Per the report, R1 passed away on 10/15/2024.

During today’s visit, LPA performed a brief facility tour and welfare check on remaining residents, finding no safety concerns. LPA spoke with Licensee/Administrator Cheryl Castro via telephone. LPA also collected copies of and reviewed pertinent records and interviewed relevant staff.


No deficiencies were cited or observed on this date. 

An exit interview was conducted with Maria Ligaya Sunguad. who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
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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