Facility Evaluation Report

At 9:30 am Licensing Program Analyst (LPA) Tihesha Smith conducted an announced pre-licensing visit with administrator. Identification of the Applicant/administrator was verified by photo ID.

The facility is a two-story building and has a capacity of four (4). Application received for 4 Ambulatory clients.

Purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 6.

Authorization from the Woodland Hills Regional Office on 05/15/2024 and 05/21/2024 allowed the following to be done upon approval of licensing:

Transfer of additional facility furnishings/appliances from previous facility location:

Transfer of Medication cabinet, Personnel and Client files

Transfer of all foods, linen, hygiene items, toxins, supplies, and equipment

Transfer of client furnishings and client personal items

Today's site visit consisted of LPA Smith touring the physical plant inside and outside. and observed the following:

The common areas (kitchen, living room, family room and dining areas) were clean.