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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603716
Report Date: 04/25/2024
Date Signed: 04/26/2024 02:54:15 AM

Document Has Been Signed on 04/26/2024 02:54 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:SCHARD'S HOUSEFACILITY NUMBER:
374603716
ADMINISTRATOR/
DIRECTOR:		SCHARD, VICTOR GFACILITY TYPE:
740
ADDRESS:8701 MESA ROAD 70TELEPHONE:
(619) 334-8546
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: 3CENSUS: 3DATE:
04/25/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Licensee Victor SchardTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Debbie Correia made an unannounced continuation visit of the required annual inspection. LPA was granted entry into the facility by Licensee Schard, identified herself, and stated the purpose of today’s visit, to inspect the facility to ensure that it is in compliance with the California Code of Regulations, Title 22, Division 6.

During today's inspection LPA observed toxins, medications, and sharp object were inaccessible to clients in care. P & I money matched client ledgers and receipts. A review of Facility records revealed staff and client records were complete. Per Licensee Schard there are no firearms, weapons, or ammunition on the facility premises. LPA observed no bodies of water on the premises. LPA observed an adequate supply of PPE, personal hygiene supplies, and observed 2 days of perishable food and 7 days of non-perishable food to meet the clients dietary needs.

An exit interview was conducted with Licensee, Schard, and a copy of this report along with the Licensee Rights (LIC 9058) will be provided. Licensee Schard's signature below confirms receipt of these documents.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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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