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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601097
Report Date: 04/17/2023
Date Signed: 04/17/2023 05:03:07 PM

Document Has Been Signed on 04/17/2023 05:03 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:CASA DEL SOLFACILITY NUMBER:
374601097
ADMINISTRATOR:VIDA DACANAYFACILITY TYPE:
740
ADDRESS:4290 LAYLA WAYTELEPHONE:
(619) 662-1979
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 6CENSUS: 4DATE:
04/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Staff, Alma CaramilloTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an announced visit to pick up records related to an ongoing investigation. LPA was greeted by Caregiver, Alma Jaramillo, to whom LPA identified herself to, and discussed the purpose of the visit.

During the visit, LPA toured the facility with Caregiver, Jaramillo. In addition, LPA interacted briefly with residents in care, and reviewed and obtained copies of facility records.

An exit interview was conducted with Jaramillo, to whom a copy of this report and the Licensee's Rights (LIC9058 01/16) was provided at the conclusion of the visit.
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2023
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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