The proposed physical plant is a one (1) story single family dwelling located in a residential neighborhood of Woodland Hills, CA. A tour of the physical plant was conducted and the following observed:

COMMON AREAS: These include the Family Room and Dining Room. Additionally, the attached 2-car garage will be used as a laundry room and storage area. The staff will assist clients with all laundry needs. Cleaning supplies and detergents were observed locked and inaccessible. The common areas were furnished to accommodate a maximum capacity of six (6) clients. There is a fireplace in the Dining Room, which was observed to be adequately screened. There were no immediate hazards observed. Fire extinguishers were observed throughout the facility; all were observed to be fully charged and last serviced 07/10/2023. At 09:54AM, hardwired combination carbon monoxide/smoke detectors were tested and were functional at the time of the visit.

TREATMENT/THERAPY/MEDICATION ROOM & OFFICE AREA: There is a Therapy Room/Medication Room/office located on the ground floor. Medications are stored in a locked file cabinet inside the staff office. The medication room has adequate locked storage. The 1st Aid Kit is stored in the Medication Room. The Office is kept inaccessible to clients unless properly supervised.

Report Continued on LIC 809-C

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient nonperishable food to accommodate a maximum capacity of 6 Clients for (seven) 7 days. There was sufficient dining and cook ware to accommodate a maximum capacity of 6 Clients. Knives and other sharps will be stored in locked under-sink cabinets. There were no visible immediate hazards observed.

BEDROOMS: There are four (4) bedrooms, all of which are designated for client use. Bedrooms #2 and #3 are single occupancy and bedrooms #4 and #5 are for double occupancy. All bedrooms were equipped and supplied with appropriate furniture, bedding, and linens. There were no visible hazards or discrepancies observed.

BATHROOMS: There are three (3) bathrooms, two (2) for client use only and one (1) for staff. The staff bathroom is located by the office. During the visit LPAs and applicant representative observed staff bathroom to be missing a door. The first client bathroom is a Jack and Jill between bedrooms #2 and #3. The second client bathroom is located by the hallway between bedrooms #3 and #4. All Bathrooms were supplied with appropriate paper and hygiene products. Water temperatures were measured in all client bathrooms and measured within the required range of 105 degrees F to 120 degrees F at the time of the visit.

SURROUNDING GROUNDS: The Front Yard includes a driveway, paved walkways, and landscaped areas. The backyard is fenced and includes both paved and landscaped areas, a covered patio, furniture appropriate for outdoor use, and an in-ground swimming pool. The pool is kept inaccessible to clients with the use of fencing that includes a locked gate. There are 2 side gate doors with self-latching mechanisms. The Applicant Representative confirmed they are aware of the requirement of Water Safety Certification for staff providing supervision during pool use and that qualified staff must be present at all times that the pool is in use by clients.

Report Continued on LIC 809-C

During the visit, LPAs and Applicant Representative observed that the spring on the pool door was unhitched. All outdoor and indoor passageways were observed free of obstruction.

COMPONENT III ORIENTATION: A Component III Orientation was conducted with Licensee Representative Syuzanna Shirinyan during today's visit.

The following needs to be completed/Photos sent to LPAs prior to licensure:

· Fix spring on pool door gate.

Exit interview conducted. A copy of the Licensing Report was issued.