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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603625
Report Date: 01/07/2025
Date Signed: 01/07/2025 11:02:17 AM

Document Has Been Signed on 01/07/2025 11:02 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:STELLAR CAREFACILITY NUMBER:
374603625
ADMINISTRATOR/
DIRECTOR:		BRANDON CHOFACILITY TYPE:
740
ADDRESS:4518 54TH STREETTELEPHONE:
(619) 287-2920
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 120CENSUS: 102DATE:
01/07/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Executive Director Brandon ChoTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analysts (LPAs) Arian Golbakhsh and Amy Rodgers were welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director Brandon Cho. The purpose of LPAs' unannounced visit was to discuss ED Cho's request for a change in capacity from 120 to 150 non-ambulatory residents.

LPAs met with ED Cho and discussed the change of capacity. Fire Clearance dated 12/05/2024 shows clearance granted for 150 non-ambulatory residents,10 if which may be bedridden residents. Fire Clearance further indicates bedridden clients are allowed in rooms 1002-1014.

During today's visit, LPAs conducted a tour of the facility with ED Cho. LPAs found the physical plant consistent with the submitted facility sketch/floor plan.

Based on today's inspection, living accommodations and grounds have been found to be in compliance, meeting Title 22 regulations for an increase in capacity.

The completed change of capacity request will be forwarded to management for final review and approval. Approval notification to Licensee will be made by Community Care Licensing (CCL) and a new license will be mailed to the Licensee.

An exit interview was conducted with ED Cho to whom a copy of this report was provided. Their signature below confirms receipt of this documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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