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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197600430
Report Date: 10/14/2024
Date Signed: 10/15/2024 08:43:44 AM


Document Has Been Signed on 10/15/2024 08:43 AM - 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:VALLEY VIEW RETIREMENT CENTERFACILITY NUMBER:
197600430
ADMINISTRATOR:JUDITH MONTOYAFACILITY TYPE:
740
ADDRESS:7720 WOODMAN AVE.TELEPHONE:
(818) 997-6756
CITY:PANORAMA CITYSTATE: CAZIP CODE:
91402
CAPACITY:116CENSUS: 72DATE:
10/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Judith MontoyaTIME COMPLETED:
02:13 PM
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Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual visit. The LPA met with the Administrator, Judith Montoya and explained the reason for the visit.

The LPA along and the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations.

COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. All required posting were observed on the first-floor hallway. The LPA observed the fire extinguishers (12) throughout the facility to be fully charged and last serviced on 10/10/2024. Signs are posted throughout facility to promote hand washing, and cough/sneeze etiquette. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the janitor and laundry room. First aid kits are located in the medication room, and kitchen area. Two (2) television rooms were observed. One on the first floor and one on the second floor. An activity room was observed on the second floor. Activity room was observed to be clean with multiple tables and chairs for activities. A beauty salon was observed on the first floor. The beauty salon was locked at the time of the visit; it is used by facility staff to provide residents with haircuts, nail clipping, etc. A monthly activity calendar was observed to be posted in the hallway of the first floor.
LAUNDRY ROOM: Laundry units are located inside laundry room.

Continues on LIC 809C...

SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Sandra UrenaTELEPHONE: 747-230-3919
LICENSING EVALUATOR SIGNATURE:
DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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: VALLEY VIEW RETIREMENT CENTER
FACILITY NUMBER: 197600430
VISIT DATE: 10/14/2024
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KITCHEN: The kitchen/dining area were observed to be clean. Knives are stored in the inaccessible kitchen. Kitchen appliances appear to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and freezer temperatures were observed to be within the regulation limits (below -0 and 40) degrees. Daily menus were posted inside and outside the dining room.

OUTDOOR SPACE: The facility has covered outdoor areas for resident use at the front, and sides of the facility. There is a gate on the side of the facility designated for an emergency exit. There are no bodies of water on the premises. The facility only has a parking lot, no garage nor basement.

Due to time constraints, LPA Urena will return on another date to complete the Annual inspection.

SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Sandra UrenaTELEPHONE: 747-230-3919
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2