Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an announced pre-licensing visit to the facility. LPA met with Facility Administrator Jason Gillis and Licensee Representatives: Lisa Degagne, Julie Ippoliti, Saier Sadiq, Eric Campbell, Leilani Whitfield, and Edmond Osepans.

An Application to operate an Adult Day Program (ADP) was received by Community Care Licensing (CCL) on 10/23/2023. The proposed facility is a 2 (two) story standalone building located in a commercial area in Thousand Oaks, CA. A Fire Clearance was approved for a maximum capacity of 100 (one hundred) non-ambulatory clients (approved for first floor only) on 03/20/2024, during which all combination carbon monoxide/smoke detectors as well as sprinkler system and fire wall were inspected. Approximate proposed facility hours are Monday through Friday 9:00AM to 4:00PM. The program is designed with 2 (two) main components: creative and visual arts as well as a community integration training program. The facility plans to have a fully integrated program and allow accessibility to clients of varying needs and skill levels. The program is structured towards each person’s Individualized Support Plan (ISP). The facility plans to have dedicated nursing staff on site, to allow for clients of varying health needs accessibility to programs offered. Beginning at 10:34AM, a tour of the physical plant was conducted and the following observed:

The facility consists of various art studios, dance and performing arts spaces (7 in total), a kitchen, 5 (five) fully accessible restrooms, a swimming pool, changing areas including additional restrooms, exercise room, health clinic, media center, gathering space, 2 (two) basketball courts and a space that will be utilized as a cafe in the future. All rooms identified contain locked inaccessible storage space. The proposed facility does not contain an outdoor activity space. During today's visit, the pool area was observed to in need of repair/modifications, and therefore was locked and inaccessible to future clients. All other areas observed appeared to be safe and free of hazards. The bathrooms are safe and sanitary and in operating condition with toilet paper, soap, and paper towels. Hot water was measured in common sinks and measured within the required range. Report Continued on LIC 809-C