195850321-2-24-2026-29-AS-ABAN-DRLT4V-20260224132434

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195850321
Report Date: 02/24/2026
Date Signed: 02/24/2026 01:25:53 PM

Document Has Been Signed on 02/24/2026 01:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME:	OPI STR		FACILITY NUMBER:	195850321
ADMINISTRATOR/ DIRECTOR:	FIGUEROA, PAUL		FACILITY TYPE:	772
ADDRESS:	6123 WOODLAKE AVE		TELEPHONE:	(818) 572-0607
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY: 6		CENSUS: 5	DATE:	02/24/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Paul Figueroa		TIME VISIT/ INSPECTION COMPLETED:	01:35 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:30AM. LPA met with Residential Director Janet Tuverson and Administrator/Program Director Paul Figueroa. Entrance interview conducted.

Beginning at 10:32AM, the LPA, along with the Residential Director and Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The following was observed.

KITCHEN: LPA toured the kitchen at 10:32AM. Kitchen appliances were clean and in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Knives and cleaning solutions were stored locked and inaccessible in a drawer and under the sink. Foods were labeled and checked for expiration dates.

BEDROOMS: There are three (3) bedrooms for shared-use. LPA observed client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. There is no staff bedroom on premises.

RESTROOMS: The facility has four (4) restrooms total. Two (2) are for client-use; one (1) is attached to bedroom #3 and one (1) is in the hallway for shared client-use. Two (2) are for staff use and kept locked; one (1) is downstairs and one (1) is upstairs. Client restrooms were clean, sanitary, and in operating condition with slip-resistant materials. At 10:39AM, hot water in the hallway client restroom measured high at 124.0 F. Water heater was lowered and at 10:54AM, LPA remeasured hot water to be at 111.2 F degrees F, which is within the required range.

Report continued on LIC 809-C.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: OPI STR	FACILITY NUMBER: 195850321
	VISIT DATE: 02/24/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LAUNDRY/GARAGE: Locked laundry room is located on the ground floor. Laundry supplies were observed inside the locked laundry room. The locked garage was observed to contain locked chemical storage, emergency food and water, as well as activity and other supplies. Additional refrigerator and freezer were observed in the garage.

COMMON AREAS: The facility is a 2-story home, consisting of an upstairs and a downstairs area. Downstairs common areas include a living room, study, and dining area. All furniture appeared clean and in good condition. LPA observed required postings throughout the common areas. LPA observed fire extinguishers to be fully charged and last serviced on 12/08/2025. At 10:53AM, combination smoke detector(s) and carbon monoxide detector were tested and were operational at the time of the visit.

TREATMENT/THERAPY/OFFICE AREAS: Upstairs rooms were observed to remain locked, and only accessible to clients with staff supervision. Upstairs consists of two (2) office areas and a group therapy room. Downstairs contains a locked nurse/staff office, which contained a locked medication closet.

SURROUNDING GROUNDS: The backyard is fenced and includes both paved and landscaped areas, a patio, furniture appropriate for outdoor use, an in-ground swimming pool, and separate in-ground hot tub. The pool is locked and fenced off, inaccessible to clients. The hot tub contains a locked cover. No immediate hazards were observed during the visit.

MEDICATION REVIEW: At 10:55AM, medications were reviewed for two (2) clients. Medications observed were properly labeled and medication records observed were documented per regulation, no errors observed. The Offices are kept inaccessible to clients unless properly supervised.

RECORD REVIEW: Beginning at 11:15AM, LPA reviewed five (5) out of five (5) client and four (4) personnel files for documents including but not limited to: medical records, care plans, Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All client and personnel files were in order.

INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted monthly, with the last drill conducted on 02/21/2026.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Angela Barutyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

LIC809 (FAS) - (06/04)

Page: 3 of 4