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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604607
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:11:48 PM

Document Has Been Signed on 03/13/2024 01:11 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:SUNSET RESIDENTIAL CARE IFACILITY NUMBER:
374604607
ADMINISTRATOR:LOPEZ, YANET PUENTESFACILITY TYPE:
740
ADDRESS:2707 NANSEN AVETELEPHONE:
(858) 352-6340
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY: 6CENSUS: 5DATE:
03/13/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Administrator Yanet PuentesTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Plan Of Correction (POC) visit. The LPA introduced himself, and disclosed the purpose of the visit to Administrator Yanet Puentes.

During the visit, the LPA reviewed records, cleared a POC, and provided the administrator a Plan of Correction Letter.

An exit interview was conducted with Administrator Puentes, to whom a copy of this report, and Applicant/Licensee Rights (LIC 9058), were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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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