Senior Care Records.

Facility Evaluation Report

Fairhaven Home 2, Canoga Park03/06/2025Licence 197610503

Capacity6
Census5
Date signed03/06/2025 02:51:41 PM
The inspector’s account

On 3/6/2025 at approximately 1:45pm, Licensing Program Analysts (LPAs) Perchui Milena Khurshudyan, Angela Panushkina and Huma Rahimi conducted a Case Management visit in conjunction to subsequent complaint visit Control# 31-AS-20250219094156 . LPAs met with the Licensee and explained the reason for the visit.

During the initial complaint visit made on 02/24/2025, LPA observed that facility floor plan changed by converting the patio into two private bedrooms. LPA also observed that one (1) of the rooms was occupied by client 1 ( C1), and the second bedroom was vacant. LPA conducted an interview with the facility Administrator who stated that there is no final sketch available to provide to CCLD. Although, the Licensee/Executive Director informed LPA about floor plan change back on 1/13/2025, the LPA and/or Regional Office has not yet received the updated sketch, approved by the Fire inspector.

Exit interview conducted and copy of this report signed and delivered.

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