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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197607729
Report Date: 04/29/2022
Date Signed: 04/29/2022 11:21:35 AM

Document Has Been Signed on 04/29/2022 11:21 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:ALL SEASONS HOMES, INC.FACILITY NUMBER:
197607729
ADMINISTRATOR:ANN LIZA CALDERON-MACIASFACILITY TYPE:
735
ADDRESS:3202 WEST ALBRET STREETTELEPHONE:
(661) 522-7473
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 4CENSUS: 4DATE:
04/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Aniana CalderonTIME COMPLETED:
11:35 AM
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At 10:30 a.m. Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an annual infection control inspection. Upon entry, LPA observed covid infection control signs posted outside and throughout the facility. LPA was greeted by a staff member and the facility administrator. All staff were observed to be wearing masks. LPA’s temperature was taken and was asked to sign in the visitor’s log.

This is a five (5) bedroom, three (3) bathroom single story home. LPA was able to tour the home and did not observe any immediate health and safety concerns. Sufficient PPE supplies were observed. The fire extinguisher was observed in the kitchen area and was purchased on 10/21/2021. LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Sharps, cleaning supplies and medications are centrally stored and are kept locked. Extra towels and linens were readily available. The backyard is clean, has a covered shaded area and there are no bodies of water.

The facility is currently following their mitigation plan and no deficiencies were observed during today’s visit. Report was signed and delivered. An exit interview was conducted with the Administrator.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Melissa Ruiz
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2022
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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