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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606617
Report Date: 07/29/2022
Date Signed: 07/29/2022 11:35:06 AM

Document Has Been Signed on 07/29/2022 11:35 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:SAILS NEW CASTLEFACILITY NUMBER:
197606617
ADMINISTRATOR:DANIELA MOSQUERAFACILITY TYPE:
735
ADDRESS:11505 NEW CASTLE AVETELEPHONE:
(818) 224-7364
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 4CENSUS: 3DATE:
07/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:SENAMI LATEJU-LABEODANTIME COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in order to conduct an Infection Control Annual. The LPA was greeted by the facility house manager and had his temperature taken and coivid-19 related questions asked before being allowed entry into the home.

The facility has four bedrooms and three clients currently. The fire extinguisher was functional and last serviced in January of 2022. The smoke alarms are not hardwired in the facility, but all were tested and appeared to function properly. The carbon monoxide detectors also functioned properly.

The facility is currently following their infection control plan and no deficiencies were observed during today's visit.

Exit interview conducted and report issued.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Patrick Shanahan
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2022
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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