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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606612
Report Date: 08/29/2022
Date Signed: 08/29/2022 03:46:33 PM

Document Has Been Signed on 08/29/2022 03:46 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:LARC NEW DAY ACTIVITY CENTERFACILITY NUMBER:
197606612
ADMINISTRATOR:CHRISTINE BRATZELFACILITY TYPE:
775
ADDRESS:29890 1/2 BOUQUET CANYON ROADTELEPHONE:
(661) 296-8636
CITY:SAUGUSSTATE: CAZIP CODE:
91390
CAPACITY: 25CENSUS: 0DATE:
08/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:Kathleen SturkeyTIME COMPLETED:
03:15 PM
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 Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced annual required visit.
LPA observed that there are no client at this time. The Executive Director, Kathleen Sturkey, explained that since the time it was licensed, the Activity Center is not in use, but they are keeping the license for future use.The facility is not vendored by North Los Angeles Regional Center (NLARC).

A tour of the physical plant was conducted including the surrounding grounds. There is one entrance being utilized at the facility, there are required posters at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Hand washing, coughing etiquette, physical distancing and other necessary signs are posted in the bathroom and throughout the facility. The facility has enough PPE supplies. The facility has a large common area and is located adjacent to the community kitchen distribution center. The facility has three (03) bathrooms. Bathroom #1 is located inside the center, is a unisex bathroom, is handicapped accessible and the water temperature was tested at 113.4°F. Bathroom #2, which is located outside, is designated for women only, is handicap accessible and hot water was measured at 112.7°F. Bathroom #3 is designated for men only, is handicap accessible and hot water temperature was measured at 114.3°F. All bathrooms were checked for proper operations and cleanliness. Fire extinguisher is fully charged. There are dual smoke/carbon monoxide detectors installed at the facility and was tested and observed to be operable. There is a TV set in the facility and there are lockers inside the facility for clients' use. The facility is equipped with fire sprinkler system.
No health and safety hazards observed at the time of the visit. Exit Interview Conducted. Copy of this report issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2022
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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