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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197607729
Report Date: 05/28/2024
Date Signed: 05/28/2024 01:14:50 PM

Document Has Been Signed on 05/28/2024 01:14 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ALL SEASONS HOMES, INC.FACILITY NUMBER:
197607729
ADMINISTRATOR/
DIRECTOR:		ANN LIZA CALDERON-MACIASFACILITY TYPE:
735
ADDRESS:3202 WEST ALBRET STREETTELEPHONE:
(661) 522-7473
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 4CENSUS: 4DATE:
05/28/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Annaliza Calderon-Macias, AdministratorTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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At 10:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an Annual Required visit and inspection of the facility. LPA met with the Administrator, Annaliza Calderon-Macias, and explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following:

Kitchen: At 10:50 AM, LPA observed the kitchen appliances and fixtures were functional. LPA also observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility.

Medications: At approximately, 11:00 AM LPA observed medications are centrally stored and locked in the living room in a cabinet. Staff and clients records were maintained at this location. These items were locked. LPA observed a locked box where all sharps and knives were kept.

Bedrooms: At 11:05 AM, LPA observed that there are five (5) bedrooms. Four bedrooms are designated for clients use. Three rooms are private and one is shared. There is also a staff room. The four bedrooms, in use by clients were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are three (3) bathrooms designated for clients use. Bathrooms were properly supplied and had functional fixtures. At 11:10 AM, hot water temperature was measured at 106.4 degrees Fahrenheit. There were no cleaning supplies kept in the bathrooms.

Common Areas: These included the living room, family room, and dining area. The common areas were properly furnished. The dining room has a table large enough to seat four (4), but can seat six if needed. Indoor activities and exercise equipment were observed. There is a fireplace, that is functional. A screen and glass door was observed. No tools or lighting equipment (lighter, matches) were present.
Continue on LIC809-C
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALL SEASONS HOMES, INC.
FACILITY NUMBER: 197607729
VISIT DATE: 05/28/2024
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Outside/Surrounding Grounds: At 11:20 AM, LPA observed that the entry/exits were free of obstruction. There was furniture appropriate for outdoor use. LPA observed a newly purchased and installed patio for party purposes. Furthermore, there was sufficient space in the backyard to hold outdoor exercise and activities. The outdoor area was free of hazards.

Laundry/Garage Area: The laundry area is located in the hallway, in between resident rooms #3, #4 and the garage. Cleaning supplies and detergents were observed locked. The garage is used for storage for supplies and extra food. A key is required to gain access into the garage.

OFFICE/STAFF WORKSTATION: Facility has both an office and work station for staff. The work station is located by the dining room. The facility also has another office for staff which is located by the front entry. Staff meetings held in this room. PPE supplies were also maintained there.

Smoke detectors/carbon monoxide. The smoke alarms are battery operated. The carbon monoxide detector is located by the front entrance, at the living room, that functions properly. The fire extinguisher is located in the kitchen. It was purchased on 10/09/23.


Between 11:30 AM to 12:30 PM, LPA reviewed records of four (4) clients and three (3) staff. Client and staff records appeared to be complete and updated.

Administrative: LPA collected Certificate of Liability Insurance, and LIC500.

No deficiency cited during today’s visit.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC809 (FAS) - (06/04)
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