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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197602666
Report Date: 01/14/2025
Date Signed: 01/14/2025 02:41:12 PM

Document Has Been Signed on 01/14/2025 02:41 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:PATHPOINTFACILITY NUMBER:
197602666
ADMINISTRATOR/
DIRECTOR:		JENSEN, JAMESFACILITY TYPE:
775
ADDRESS:348 E AVENUE K 4 STE BTELEPHONE:
(661) 723-7484
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 90CENSUS: 79DATE:
01/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Nicolas WIlliamsTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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At 09:30 am, Licensing Program Analyst (LPA) Lorena Casillas arrived at facility and met with Nicholas Williams (Program Coordinator) for an unannounced annual visit. Entrance interview conducted.

Infection control: LPA reviewed facility infection control plan (approved on 10/17/2022) to make sure licensee was following current infection control recommendations.

LPA and Program Coordinator went reviewed Emergency and Disaster Plan to ensure plan is up to date.

Administration: LPA received LIC 500 and Client roster.

Physical plant: At 10:45 am, LPA and Program Coordinator toured the facility. LPA observed tables and chairs to be in adequate repair. LPA observed there to be no obstructions of passageways. Walls and floors were clean, and in good repair. Equipment and supplies used for day program appear to be in good repair. All trash cans were observed to have lids. The facility maintains a comfortable temperature at 70 F. The last annual fire alarm test was conducted on 7/2024 by the 5 Alarm Fire Corporation. There are nine (9) fire extinguishers that were last charged on 5/01/2024 and routinely checked by staff monthly with last recording on 12/06/2024. There are five (5) additional fire extinguishers located in each of the facility vehicles. The First Aid kit was observed and had necessary equipment.

Kitchen area: LPA observed the two kitchen areas to be neat and clean. Consumers bring their own lunch and snacks.

Continued on LIC809-C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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: PATHPOINT
FACILITY NUMBER: 197602666
VISIT DATE: 01/14/2025
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Bathrooms: LPA observed the bathrooms to be clean and have the wash your hands signs posted. The hot water temperature measured within regulation at 117.8 F. Trash cans in all bathrooms have lids to protect consumers from cross contamination.

Medication: At 11:30 am LPA and Program Coordinator reviewed medications and medication logs.

Client Files: All files are digital. LPA reviewed client files with Program Service Coordinator at 11:45 am.



Staff Files: All files are digital. LPA reviewed staff files with Office Manager at 12:45 pm.

Staff Interviews: LPA conducted staff interviews at 01:15 pm.

Client Interviews: LPA conducted client interviews at 1:45 pm.

There are no citations at this time. Exit Interview Conducted. Copy of report provided to Program Coordinator.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC809 (FAS) - (06/04)
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