<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604046
Report Date: 07/14/2022
Date Signed: 07/14/2022 11:53:25 AM

Document Has Been Signed on 07/14/2022 11:53 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:OAK HILL RESIDENTIAL CARE VFACILITY NUMBER:
374604046
ADMINISTRATOR:LOFVENDAHL, BRIGITTA MFACILITY TYPE:
740
ADDRESS:652 TRANQUILITY GLENTELEPHONE:
(760) 743-8843
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 15CENSUS: 0DATE:
07/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Brigitta Lofvendahl, AdministratorTIME COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Stephanie Torres, made an unannounced visit to the facility to conduct an annual inspection, with an emphasis on infection control. The LPA met with Administrator, Brigitta Lofvendahl, and informed her of the purpose of thr visit. There are currently no residents in care.

The LPA observed the whole facility to be under construction. The LPA advised Lofvendahl to ensure the Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report is reviewed and COVID-19 guidelines are put into place prior to the admission of any new residents to the home. The LPA did observe sufficient PPE (Personal Protective Equipment) to be available in a centralized location.

This report was reviewed with Lofvendahl and a copy was provided.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Stephanie Torres
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1