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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603761
Report Date: 01/27/2022
Date Signed: 01/27/2022 12:14:10 PM

Document Has Been Signed on 01/27/2022 12:14 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:P & P HOMES INCFACILITY NUMBER:
374603761
ADMINISTRATOR:ORDINANZA, PAULO CFACILITY TYPE:
740
ADDRESS:146 WEDGEWOOD DRIVETELEPHONE:
(619) 292-3640
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 6CENSUS: 5DATE:
01/27/2022
TYPE OF VISIT:Case Management - COVID-19ANNOUNCEDTIME BEGAN:
09:15 PM
MET WITH:Paulo Ordinanza, AdministratorTIME COMPLETED:
10:10 PM
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Licensing Program Analyst (LPA) Dawn Segura conducted an announced Case Management visit, accompanied by nurse Sandra Brackman from the Healthcare Acquired Infection (HAI) team of San Diego County Health and Human Services Agency. LPA and Sandra Brackman introduced themselves and met with Paulo Ordinanza, Administrator.

The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation efforts to include disinfection, testing, vaccination, screening protocols, and the use of personal protective equipment (PPE). During the visit, the administrator was interviewed, and the team conducted a walk-though of the facility. A debriefing was conducted with the administrator at the conclusion of the visit.

During today's visit, no deficiencies were cited. A copy of this report, along with Licensee Rights (LIC 9058 01/16), were provided to Paulo Ordinanza, via electronic mail, following the visit. An electronic receipt of confirmation was requested to be sent upon receipt of the documents.
SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2022
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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