197601136-1-28-2025-31-AS-NSHN-DDCTXZ-20250128140759

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197601136
Report Date: 01/28/2025
Date Signed: 01/28/2025 02:08:08 PM

Document Has Been Signed on 01/28/2025 02:08 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.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	BRIDGING COMMUNITY RESOURCES		FACILITY NUMBER:	197601136
ADMINISTRATOR/ DIRECTOR:	EDWARD PARKER, JR.		FACILITY TYPE:	775
ADDRESS:	230 E. AMHERST DR.		TELEPHONE:	(818) 843-4907
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY: 60		CENSUS: 30	DATE:	01/28/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Edward Parker Jr./Administrator		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

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Licensing Program Analysts (LPA) Nadia Shahbazian and Michael Cava conducted an unannounced Required - 1 Year annual inspection visit. LPAs met with Administrator Edward Parker, Jr and explained the purpose of the visit. The program is vendorized through the Frank D. Lanterman Regional Center. The adult day program is licensed for 60 ambulatory Developmentally Disabled Adults, ages 18 through 59. There are 30 clients currently attending the program. The program does not manage medication but does provide breakfast and lunch.

LPA toured the facility with Administrator at 10:20 am and observed the following:

The facility is a single-story structure with its own parking lot and consists of a reception area, three offices, three storage rooms, five program breakout rooms, locker area for client personal storage, kitchen, 4 bathrooms (2 for staff and 2 for clients) and a shaded patio area. There is no body of water present.

There is one central entry point located at the back, that has been designated to screen all participants, staff, and visitors. There are four exits but currently the central entry is used as the main exit. The program site is clean, sanitary, and in good condition, all furnishings are in good repair with ample lighting. There are three fire extinguishers, one in the kitchen, one in the hallway and one by the exit door. All the fire extinguishers were charged on October 15. 2024.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

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.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BRIDGING COMMUNITY RESOURCES	FACILITY NUMBER: 197601136
	VISIT DATE: 01/28/2025

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Kitchen: There are two refrigerators, stove, dishwasher and television set in the kitchen with ample sitting/tables for approximately sixty clients. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen cabinet. The cleaning supplies were also locked in cabinet underneath the sink. LPAs found a sufficient amount of perishable and non-perishable food supplies, properly stored in locked storages.

Bathrooms: There are four (4) bathrooms, two for staff and two designated for clients. All toilets and sinks are maintained in sanitary, operating condition. Hot water temperature was tested between 105.6 -106 degrees Fahrenheit.

Storage rooms: All the cleaning solutions are locked and stored in the hallway closet. There were also non-perishable food items stored in locked storage.

First-Aid Kit: There are two complete first-aid kits on site with all required supplies and the first aid manual.
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Surrounding grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards. No bodies of water were observed at the facility. There is ample patio space for outdoor activities. Facility was equipped with non-audio cameras, installed in common areas with a centralized monitoring area in the office.

Resident/Staff Files: LPAs conducted a file review of resident records to insure compliance of licensing forms. Staff files were reviewed to ensure medical forms and training are up to date.

Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit.

Exit Interview Conducted / A Copy of the Report provided to Administrator, Edward Parker

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC809 (FAS) - (06/04)

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