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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606617
Report Date: 08/08/2024
Date Signed: 08/08/2024 02:12:30 PM

Document Has Been Signed on 08/08/2024 02:12 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:SAILS NEW CASTLEFACILITY NUMBER:
197606617
ADMINISTRATOR/
DIRECTOR:		SENAMI LATEJU-LABEODANFACILITY TYPE:
735
ADDRESS:11505 NEW CASTLE AVETELEPHONE:
(818) 308-3148
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 4CENSUS: 4DATE:
08/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:18 AM
MET WITH:Senami LabeodanTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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In conjunction with a complaint investigation (control #31-AS-20240729183848) Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Senami Lateju-Labeodan, and explained the reason for the visit.

At approximately 10:20am, with the assistance of the administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detectors are dual. They are hardwired and interconnected. There are two fire extinguishers. One is located by the dining room, and the other at the lounge near the front entrance. The charge date is 02/18/2024. The last earthquake drill was conducted on 05/30/24. The last fire/disaster drill was conducted on 07/27/24

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. In addition, there is a supply of emergency food and water locked in the hallway closet. Knives are stored in a locked drawer in the kitchen.

Bedrooms: There are four (4) private bedrooms designated for residents' use. All four bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There is a total of three (3) bathrooms designated for residents' use. Room #4 has it's own private bathroom. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit.

Common Areas: These included the living room, lounge and dining area. The common areas were properly furnished. Couch, tables and dining room sets were maintained in good condition. Floors were clean, maintained and no tripping hazard present. The fireplace in the living room is not operational, but is properly screened. No fireplace tools were observed. Exits and passageways were clear from obstruction.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CASTLE
FACILITY NUMBER: 197606617
VISIT DATE: 08/08/2024
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Activity Space: There is an additional activity space located adjacent to the garage and in between the administrator's office and dining room. Table was maintained, and no sharps or toxin present.

Garage: The garage is attached to the home. Garage is used for storage and PPE supplies. There is also an extra refrigerator in the garage that stores additional frozen and perishable food items. The garage was observed locked and inaccessible to the residents in care.

Laundry Area: The laundry area is located adjacent to the garage. There were no detergents or cleaning agents present during the day's physical plant inspection.

Office/Workstation: The administrator's office is located at the back corner of the house. A desk with office chair, and computer was set up in the office. There is additional seating. Cleaning supplies is also stored in a locked closet in the administrator's office.

Surrounding Grounds: Entry/exits to the front and back were free of obstruction. The backyard has sufficient space for outdoor activities. LPA observed backyard furniture appropriate for outdoor use. The outdoor area was free of hazards.

Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms.

Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms.

Medications: Medication and Medication Records were review for proper documentation. Medications were observed to be stored in a locked closet near the front entrance.

Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
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