Facility Evaluation Report
Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to observe the physical plant. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Julian Petrov.
On 06/29/2023, the Licensee submitted an LIC200 Application to the CCLD San Diego Regional Office (RO) to change the facility's floor plan. The change involved creating an additional client bedroom ("Bedroom #5" per the facility sketch).
On 09/29/2023, the local fire authority granted an updated fire clearance, showing the facility’s bedroom addition was approved. There were no changes to the facility’s licensed capacity or ambulatory status.
During today’s visit, LPA conducted a brief tour of the facility and viewed the bedroom addition. The updated facility sketch/floor plan was consistent with the current layout of the facility.
LPA observed no immediate health or safety issues. No deficiencies were cited.
This portion of the application process is complete. Pending CCLD management’s final review and approval, the licensee will be sent an updated license to reflect the new fire clearance.
An exit interview was conducted with Petrov. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to the licensee during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction