197606660-12-27-2023-31-AS-NRED-CYWR88-20231227114730

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197606660
Report Date: 12/27/2023
Date Signed: 12/27/2023 11:47:44 AM

Document Has Been Signed on 12/27/2023 11:47 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
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	JOY HOME CENTER		FACILITY NUMBER:	197606660
ADMINISTRATOR:	ZINAIDA AKSELRUD		FACILITY TYPE:	735
ADDRESS:	8042 MCNULTY AVENUE		TELEPHONE:	(818) 571-2247
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91306
CAPACITY: 4		CENSUS: 4	DATE:	12/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Diana Kabazarwe		TIME COMPLETED:	11:50 AM

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At 8:30 a.m. on 12/27/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the house manager and disclosed the reason for the visit. LPA and house manager toured the facility inside and out at 9:00 a.m. No immediate health and safety hazards were observed during today’s visit.

The facility was last visited on 10/23/2023 for a complaint visit. It is a single story building with five (05) bedrooms, two (02) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for four (04) ambulatory clients. The facility uses surveillance cameras on the exterior.

At the main entrance, LPA observed a maintained front yard and a basketball hoop in the driveway. Postings were observed inside included the facility license, personal rights, emergency contacts, confidential complaint contacts, activity schedules, grievance policy, staff schedule, COVID precautions, and emergency disaster plan.

The facility has five (05) bedrooms. One (01) bedroom is designated as a staff room. The staff room was locked and free of hazards. All bedrooms contained a lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #4 did not have a chair by preference of the client. Bedrooms with immediate exit doors were unlocked.

The facility has 2 bathrooms. All bathrooms contained paper towels, trash can with a tight fitting lid, and a non-skid mat in the shower. The house manager confirmed liquid soap is provided with each client use of the bathroom. The bathroom near the staff room had a shower door missing. The house manager explained it is undergoing maintenance. At approximately 9:20 a.m. LPA measured the water temperature in the shared bathroom to be 116.5 degrees Fahrenheit.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023

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.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: JOY HOME CENTER	FACILITY NUMBER: 197606660
	VISIT DATE: 12/27/2023

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LPA observed an adequate supply of perishable and non-perishable foods in the kitchen refrigerator, freezer, surplus freezer, and pantries. The stove hood was clean. Appliances were in good condition. A weekly menu was posted on the refrigerator. Emergency water and a water cooler were located near the kitchen.

A washing machine and dryer were located in a room adjacent to the kitchen. Both were in working order. Sharps were locked in a lower cabinet in the laundry room. Cleaning solutions and detergents were locked in an upper cabinet in the laundry room. Medications and confidential files were locked in the office.

Walls, floors, windows, screens, and blinds were clean and in good repair. At 9:25 a.m. LPA measured the room temperature to be 68 degrees Fahrenheit. Board games, television, and activities were provided in the living room. A non-operational fireplace was observed in the living room. The house manager confirmed it was inactive and turned off.

LPA observed a covered patio area in the rear of the facility. The patio contained furniture in good condition. At 9:30 a.m. a client was observed using activity books and crossword puzzles on the patio. A ramp with sturdy hand rails led out from the office.

All emergency exit paths were free from obstructions. Two (02) out of two (02) exit gates were unlocked with self-closing latches. At approximately 9:45 a.m. the carbon monoxide detector was tested and operational. At approximately 9:50 a.m. the smoke detector was tested and operational. LPA observed a fully charged fire extinguisher in the laundry room at 9:55 a.m.

A fully-stocked first aid kit was observed at 10:00 a.m. The house phone was tested and operational at 10:10 a.m. The facility vehicle engine, seatbelts, and windows were observed to be functional at 10:15 a.m.

LPA conducted a file review of staff and client records at 10:20 a.m.

During today's inspection, the facility was in compliance with Title 22 regulations.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023

LIC809 (FAS) - (06/04)

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