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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606308
Report Date: 07/27/2022
Date Signed: 07/27/2022 10:36:03 AM

Document Has Been Signed on 07/27/2022 10:36 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ENRICHMENT AND SOCIAL OPPORT. FOR LIFE SKILLSFACILITY NUMBER:
197606308
ADMINISTRATOR:MARGIE RHYNE, MICHAEL STEPFACILITY TYPE:
775
ADDRESS:7711 JELLICO AVENUETELEPHONE:
(818) 881-4427
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY: 14CENSUS: 10DATE:
07/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Margie Rhyne, Michael Stephens TIME COMPLETED:
10:45 AM
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At 9:15 a.m Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced annual inspection. Upon arrival LPA met with administrators Margie Rhyne and Michael Stephens. The purpose of the visit was explained.

At 9:20 a.m LPA conducted a tour of the physical plant. Upon arrival LPA’s temperature was taken and was asked to sign in. Covid infection control signage are located through out the facility. The main house in the front consists, of a kitchen area, two (2) bathrooms, and two large activity area. The water was measured at 118.2 degrees F. At 9:35 a.m the fire alarm and carbon monoxide alarm were tested and were functional. Fire extinguisher has a service date of 04/15/22. Bathrooms were toured and LPA observed the necessary toiletries. There are hand sanitizing stations throughout the facility. Staff and clients were observed wearing masks. Facility maintains a temperature of 78 degrees F. The facility has several structures that consists of office areas and storage areas. The garage was toured, and LPA observed sufficient PPE for more than 30 days. Chemicals are stored inside the garage area. During the time of the visit LPA observed two clients at the facility. Clients were outside gardening with staff. Facility has a covered patio area for clients. Facility offers in person and virtual classes. Activities consist of gardening, skill training classes, and arts and craft. Facility does not offer any meals at the moment. No current client is taking medication therefore facility is not in possession of any medication.

No deficiencies issued. Exit interview conducted. Report signed and delivered. Appeal rights delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Joscelyn Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
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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