197600716-3-6-2025-31-AS-NRED-DEJ26H-20250306160709

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197600716
Report Date: 03/06/2025
Date Signed: 03/06/2025 04:07:27 PM

Document Has Been Signed on 03/06/2025 04:07 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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	VISTAS HOME		FACILITY NUMBER:	197600716
ADMINISTRATOR/ DIRECTOR:	GELLER,YANIV		FACILITY TYPE:	735
ADDRESS:	16778 OTSEGO ST.		TELEPHONE:	(818) 784-1680
CITY:	ENCINO	STATE: CA	ZIP CODE:	91436
CAPACITY: 4	TOTAL ENROLLED CHILDREN: 0	CENSUS: 3	DATE:	03/06/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:10 PM
MET WITH:	Dillian Contreras		TIME VISIT/ INSPECTION COMPLETED:	04:05 PM

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At 1:10 p.m. on 03/06/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the house manager and disclosed the reason for the visit.

A file review was conducted prior to the visit. The facility was last visited on 03/17/24 for an annual inspection. It is a single story building with six (06) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for ambulatory residents only.

At the main entrance, LPA observed postings for the facility license, facility sketch, ombudsman contacts, confidential complaint contacts, and personal rights. Additional postings near the office area included COVID precautions, emergency disaster plan, personal rights, and house rules.

The facility has six (06) bedrooms. The northern-most bedroom was vacant. Three (03) private bedrooms were designated for clients. Two (02) bedrooms were designated for staff. Staff bedrooms were locked. All client bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition.

All emergency exit paths were free from obstructions. The front exit gate was unlocked. At approximately 1:40 p.m., the smoke and carbon monoxide detectors were tested and operational. At approximately 1:45 p.m. LPA observed a fully charged fire extinguisher in the dining room. It was last inspected on 11/13/24. At 1:50 p.m. the house telephone was called and deemed operational.

The facility has three (03) bathrooms. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 2:00 p.m., LPA measured the water temperature to be 118.9 degrees Fahrenheit. That bathroom also had a weekly temperature log hung in it.

Naira Margaryan	TELEPHONE: (818) 596-4368
Nicholas Reed	TELEPHONE: (818) 669-8178
	DATE: 03/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025

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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VISTAS HOME	FACILITY NUMBER: 197600716
	VISIT DATE: 03/06/2025

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At approximately 2:10 p.m. LPA observed a fully stocked first aid kit in the kitchen. LPA observed an adequate supply of perishable and non-perishable foods in the refrigerator and freezer. The stove hood was clean. Most appliances were in good condition. Around 2:12 p.m. LPA observed the oven was in disrepair. A sign was posted on it indicating not to use it. The house manager noted a replacement oven was purchased and sitting in the lobby area. Maintenance was attempted and rescheduled for a future date. Sharps were locked below the counter. At 2:15 p.m. LPA conducted a medication review. Three (03) out of three (03) clients’ medications had the correct count. Medication documents were reviewed and deemed to have all necessary entries filled. A laundry area was adjacent to the kitchen. It contained a working washer and dryer. Cleaning solutions were locked in a cabinet in the laundry area.

Walls, floors, windows, screens, and blinds were clean and in good repair. At 2:30 p.m. LPA measured the room temperature to be 73.0 degrees Fahrenheit. The living room contained a television and furniture in good repair.

LPA observed a patio area in the rear of the facility. The patio contained furniture in good condition. The back yard had an animal cage which belonged to a client. The garage was open and contained client belongings and extra supplies.

LPA reviewed resident and personnel files at 2:45 p.m. All files were complete and available for audit.

During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed.

Exit interview conducted. Copy of report provided.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025

LIC809 (FAS) - (06/04)

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