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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197600466
Report Date: 08/31/2022
Date Signed: 08/31/2022 11:53:10 AM

Document Has Been Signed on 08/31/2022 11:53 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
CCLD Regional Office,
WOODLAND HILLS, CA 91364
FACILITY NAME:OSIO HOMESFACILITY NUMBER:
197600466
ADMINISTRATOR:OSIO, REYNALDOFACILITY TYPE:
735
ADDRESS:10343 COMMERCE ST.TELEPHONE:
(818) 352-9376
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY: 4CENSUS: 4DATE:
08/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Jonah OsioTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. Upon entry, LPA was greeted by staff Frances, who allowed LPA to enter. There have not been any active or past COVID cases at the facility, and (23) staff and (4) clients have been vaccinated. The current census is (4). LPA’s temperature was taken electronically checked. A hand sanitizing station, PPE supplies were located at the front door. COVID-19, CDC, Department of Public Health, and Licensing postings on the walls throughout the facility.

The infection control inspection began with the staff Frances and concluded with Administrator Jonah. The facility has (6) bedrooms; with (2) shared rooms for clients; and (4) rooms for staff. Beds were kept (6) feet apart. All bedrooms were properly furnished. The common areas were observed to be clean, including bathrooms, with soap and towels. LPA conducted a mitigation plan review with the Administrator, to obtain information on how the facility has implemented the plan. The Administrator reported to LPA, that all (4) clients have been vaccinated and received boosters. All (3) staff are vaccinated; and the continue to conduct weekly COVID testing. The facility keeps documentation of the test results and other pertinent information pertaining to COVID-19. All new employee hires and new resident admits, must be properly screened, and provide (2) negative COVID test, and vaccinated. Administration continues to conduct training to staff in relation to COVID-19. Administrator reported the facility receives departmental emails.

There are designated rooms for potential positive COVID clients. PPE, chemicals, cleaning supplies, emergency food and water, personal hygiene supplies, and paper products are stored in a locked closet. LPA observed a sufficient supply of all items during the visit.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2022
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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: OSIO HOMES
FACILITY NUMBER: 197600466
VISIT DATE: 08/31/2022
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LPA observed the facility has Licensing requirement for food supply. Currently, the facility has sufficient staff, and has back-up staff in place if needed. The facility has not had any positive COVID-19 reports for staff or clients. The Administrator informed LPA that they continue to implement the best practices for their facility, which has kept them COVID-19 free. The facility is aware to report any changes with clients and staff to Licensing and there LPA, pertaining to positive COVID-19 cases.

Exit interview was conducted with Administrator Jonah

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
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