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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604537
Report Date: 10/20/2022
Date Signed: 10/20/2022 12:21:24 PM

Document Has Been Signed on 10/20/2022 12:21 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 2FACILITY NUMBER:
374604537
ADMINISTRATOR:ORDINANZA, PAULOFACILITY TYPE:
740
ADDRESS:6434 JOUGLARD STREETTELEPHONE:
(619) 723-9531
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 6CENSUS: 1DATE:
10/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Paulo Ordinanza, LicenseeTIME COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Carmen Lopez made an unannounced visit to the facility to conduct a post-licensing inspection and in conjunction conducted a case management visit and gave the facility additional guidance. LPA identified herself and was granted entry by caregiver Jonathan Luciano. Licensee Paulo Ordinanza later arrived and joined the visit. LPA discussed the purpose of today’s visit with Licensee and caregiver.

During today’s visit, LPA went over Title 22, Division 6, Chapter 8, Section 87211 Reporting Requirements; and Section 87465 Incidental Medical and Dental Care, with Licensee Ordinanza. LPA additionally provided Licensee Ordinanza guidance on Records to be Maintained at the Facility Residential Care Facility for the Elderly (LIC311F) and provided a copy of the LIC311F. Based on today’s inspection no deficiencies were cited.

An exit interview was conducted with Licensee Ordinanza. A copy of this report, along with the Licensee Rights (03/22) was provided to Licensee at the conclusion of the visit. The signature below serves as confirmation of receipt of these documents.
SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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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