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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603852
Report Date: 07/22/2022
Date Signed: 07/22/2022 09:51:31 AM

Document Has Been Signed on 07/22/2022 09:51 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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SUNVIEW GARDENSFACILITY NUMBER:
374603852
ADMINISTRATOR:ARCANGELI, FELICITYFACILITY TYPE:
740
ADDRESS:14227 MIDLAND RDTELEPHONE:
(858) 342-9431
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 6CENSUS: 0DATE:
07/22/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Felicity Arcangeli, AdministratorTIME COMPLETED:
10:03 AM
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Licensing Program Analyst (LPA) Esther Miller conducted an announced case management visit due to a request to change the facility floor plan. LPA identified herself and met with Felicity Arcangeli, Administrator, and discussed the purpose of the visit. LPA last visited the facility for a required annual inspection on November 22, 2021, during which time there were no residents living in the facility and no deficiencies found.

The Licensee submitted an application to the Regional Office (RO), received on March 16, 2022, to change the facility's floor plan. The Fire Safety Inspection Request (STD850) was submitted to LPA on May 11, 2022 by Andy Loperena, Deputy Fire Marshal of the City of Poway. STD850 stated "Facility shall serve six (6) clients, ages 60 and above of whom all may be Bedridden. Staff bedroom #7 converted to resident room. Approved for secured perimeter."

LPM conducted a tour of the facility and observed no immediate health or safety issues.

This portion of the application process has been completed. The Licensee will be sent an updated license to reflect the new fire clearance, which includes the use of the new floor plan for residents.

An exit interview was conducted with Administrator. The Licensee was provided a copy of this report and their appeal rights (LIC9058 01/16).
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Esther Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2022
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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