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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602806
Report Date: 12/05/2024
Date Signed: 12/26/2024 03:41:39 PM

Document Has Been Signed on 12/26/2024 03:41 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:HOME SWEET HOME CAREFACILITY NUMBER:
374602806
ADMINISTRATOR/
DIRECTOR:		NONAY, NORMA D.FACILITY TYPE:
740
ADDRESS:6811 FUJI STREETTELEPHONE:
(619) 472-9205
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY: 6CENSUS: 1DATE:
12/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Licensee Norma NonayTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced case management visit. The facility applied for a decrease in capacity from six (6) to four (4). The LPA was greeted by Staff Angelito Vargas, introduced himself, and was granted entry to the facility. The LPA then met with Licensee Norma Nonay and disclosed the purpose of the visit.

The LPA conducted a tour of the facility and confirmed the facility had a census of one (1). The LPA reviewed the facility sketch and there were no immediate health, nor safety concerns witnessed during the visit. A fire clearance was received by the department noting a total capacity of four (4), of which one (1) may be ambulatory, and three (3) may be non-ambulatory. Them facility was in substantial compliance and ready for a decrease in capacity, pending management approval.

An exit interview was conducted with Licensee Norma Nonay, to whom a of this report, and Licensee/Appeal Rights (LIC9058), were provided via electronic mail. An electronic mail read receipt confirms these documents were received by the Licensee.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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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