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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604757
Report Date: 02/24/2025
Date Signed: 02/24/2025 01:30:10 PM

Document Has Been Signed on 02/24/2025 01:30 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:IVY PARK AT BONITAFACILITY NUMBER:
374604757
ADMINISTRATOR/
DIRECTOR:		NEWTON, RANDALFACILITY TYPE:
740
ADDRESS:3302 BONITA ROADTELEPHONE:
(619) 470-2220
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 96CENSUS: 63DATE:
02/24/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Randal NewtonTIME VISIT/
INSPECTION COMPLETED:
01:49 PM
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Licensing Program Analyst (LPA), Ramon Serrano, conducted an unannounced collateral visit as a follow-up for an unrelated complaint investigation for another facility. LPA was greeted by the front desk receptionist and then met with Executive Director Randal Newton, LPA then discussed the purpose of the visit.

During the visit, LPA interacted with staff and residents and obtained facility records.

An exit interview was conducted with Randal Newton and copy of this report along with Licensee Rights (LIC 9058 3/22) was provided to Randal Newton whose signature below verifies receipt of these rights.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
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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