Senior Care Records.

Facility Evaluation Report

Fairhaven Home 2, Canoga Park08/01/2025Licence 197610503

Capacity6
Census4
Date signed08/01/2025 12:53:28 PM
Name of licensing program analystPerchui Khurshudyan
Name of licensing program managerNichelle Gillyard
The inspector’s account

ON 8/1/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Case Management visit at the above facility to review the current property floor plan. Upon arrival LPA met with the Licensee Joseph Jose. Entrance interview conducted.

At approximately 12:30pm LPA requested facility staff and clients’ rosters. This Case Management visit was

conducted to review and collect documents related to the facility’s proposed property floor plan change.

During today’s visit, LPA conducted a physical plant tour inside and outside of the facility to review the current floor plan. LPA also requested a copy of the new facility sketch reflecting the proposed floor plan modifications.

During the physical plant tour LPA observed seven (7) bedrooms, of which six (6) are designated for clients' use and one (1) for staff use only, and two (2) bathrooms for clients and staff use. The original floor plan was with five (5) bedrooms and two (2) bathrooms. LPA observed the sun room/ patio got converted into two (2) new bedrooms both adjacent to the kitchen/dining areas.

LPA Khurshudyan received a letter from the Licensee Joseph Jose dated 1/13/2025 notifying the Community Care Licensing CCL about the upcoming floor plan modifications. The letter states that permission has been received from the LA Department of Building and Safety. The letter also states that the contractor Evan House Construction Lic# 1087223 will be on site starting the construction on 1/14/25. Additionally, Licensee stated that there will be no impact to current programming nor any need to relocate clients.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction