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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604537
Report Date: 08/11/2025
Date Signed: 08/11/2025 02:12:12 PM

Document Has Been Signed on 08/11/2025 02:12 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:P & P HOMES 2FACILITY NUMBER:
374604537
ADMINISTRATOR/
DIRECTOR:		ORDINANZA, PAULOFACILITY TYPE:
740
ADDRESS:6434 JOUGLARD STREETTELEPHONE:
(619) 723-9531
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 6CENSUS: 5DATE:
08/11/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Paulo Ordinanza, Licensee and TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver’s Francine Palomo and Jevi Soriano. LPA discussed the purpose of the visit with the caregiver’s Palomo and Soriano, and Licensee Paulo Ordinanza and lead caregiver Jonathan Luciano who both later arrived and joined the visit.

According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory of which one (1) may be bedridden in rooms 1 – 6 in at any given time at the facility site. The facility has an approved hospice waiver for 6. During today’s inspection, the facility’s current census is 5 residents living at the facility. There were 2 residents present at the facility site during the inspection.

LPA, accompanied by Licensee Ordinanza, toured the interior and exterior of the facility, and inspected each room. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The bathroom needed sanitation as it smelled of urine and had urine around the bottom toilet. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 74.8 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sink measured hot water at 105.1 degrees F; sink in staff restroom #1 delivered hot water at 105.5 degrees F; and resident sink in restroom #2 delivered hot water at 107.6 degrees F.

[CONTINUED ON LIC 809-C]
NAME OF LICENSING PROGRAM MANAGER: Robyn Clark
NAME OF LICENSING PROGRAM ANALYST: Carmen Lopez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: P & P HOMES 2
FACILITY NUMBER: 374604537
VISIT DATE: 08/11/2025
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[CONTINUED FROM LIC 809]

There was at least 2 days of perishable food, and at least 7 days non-perishable food present. The facility had extra food storage available. Cooking, dining equipment and utensils were present, and all safely cleaned and stored. There were no toxic chemicals or poisons accessible to residents. LPA observed there were several ants on top of a dining table in the back area which caregiver cleaned during the inspection. Licensee Ordinanza sprayed an ant killer on the outside area surrounding the facility during the inspection.

Medications were properly labeled, as required, and stored in locked cabinet. The facility-maintained medication logs which LPA reviewed but was not properly filled-in for resident #1 (R1 – see confidential names list for additional information). Caregiver informed LPA the medication had been provided to the resident as directed by the prescription but had not been initialed in the MAR. LPA spoke with resident and confirmed their medication had been received the quantity of times as it directed on their prescription.

No pools or bodies of water on the premises. Per licensee Ordinanza, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present (01) and serviced within the last 12 months. First aid kits (02) were complete and readily accessible.

LPA spoke with staff and resident, and reviewed staff and resident records. During today’s visit there were 2 residents on the facility premise. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked cabinet. Required licensing postings were observed in a visible area of the facility.

Per Title 22, Division 6, Chapter 8, there were deficiencies observed and cited during today's annual inspection and may be reviewed on the LIC809-D page of this report. The deficiencies were cleared during the inspection.

An exit interview, was conducted and a plan of correction was jointly developed with Licensee Ordinanza to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.

The facility provided LPA with a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E, during their annual inspection.
NAME OF LICENSING PROGRAM MANAGER: Robyn Clark
NAME OF LICENSING PROGRAM ANALYST: Carmen Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/11/2025 02:12 PM - It Cannot Be Edited


Created By: Carmen Lopez On 08/11/2025 at 01:30 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: P & P HOMES 2
FACILITY NUMBER: 374604537

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(a)(1)
87303 (a)(1) Maintenance and Operation: Floor surfaces in baths, laundry and kitchen areas shall be maintained in a clean, sanitary and odorless condition.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 2 areas were not maintained in a sanitary/clean and odorless condition. The bathroom was not clean and odorless, but lead caregiver sanitized the bathroom prior to LPAs departure. Additionally, the back table was filled with small ants, but a caregiver sanitized the table and the Licensee sprayed ant killer during the inspection. This posed potential personal rights risk to residents in care.
POC Due Date: 08/25/2025
Plan of Correction
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This was deemed cleared during the inspection.
Type B
Section Cited
CCR
87465(e)
87465 (e) Incidental Medical and Dental: Every prescription and non prescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the Physician's order and the label shall contain all of the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above in 1 out of 5 residents did not have their MAR sheet initialed for their medications that were provided to the resident which posed a potential health, risk to persons in care.
POC Due Date: 08/11/2025
Plan of Correction
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The caregiver said they had provided the resident their medication and LPA confirmed with the resident that the prescribed medication was provided to them as instructed by their PCP. This citation is deemed cleared during this inspection.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Robyn Clark
NAME OF LICENSING PROGRAM MANAGER:
Carmen Lopez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2025


LIC809 (FAS) - (06/04)
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