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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608493
Report Date: 01/07/2025
Date Signed: 01/09/2025 01:02:36 PM

Document Has Been Signed on 01/09/2025 01:02 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:UNIVERSAL DAY PROGRAM 2FACILITY NUMBER:
197608493
ADMINISTRATOR/
DIRECTOR:		AREVIK MATEVOSIANFACILITY TYPE:
775
ADDRESS:8847 LANKERSHIM BL.TELEPHONE:
(747) 223-2350
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 128CENSUS: 69DATE:
01/07/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Suzie Hastings, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Leizl de la Cerra conducted an unannounced annual required visit on this day. LPA met with Program Director Suzie Hastings.

The facility is a two-story building with a reception area and with rooms that are designated for, a computer room, exercise room, resting room, kitchen, dining area, multi purpose room, several staff offices and numerous activity rooms. The upstairs is used for storage and staff office space only. LPA conducted a physical plant tour inside and outside the facility with the Program Director @ 11:00AM.

LPA observed all rooms were appropriately furnished, and free of hazards. LPA observed a total of 5 restrooms that were clean and had working fixtures. The hot water temperature measured within 105- and 120- degrees Fahrenheit. Facility fire alarms and smoke/ carbon monoxide detectors were last inspected by the Los Angeles Fire Department on 08/22/2024. Fire extinguishers were observed to be charged and last inspected on 5/09/24. Fire drill and earthquake drill was recently conducted on 12/16/24 @ 1:05PM. First aid kit is complete and emergency supplies are on site. The temperature inside the facility is kept at 71 degrees Fahrenheit. LPA observed the outdoor area; there was a large seating area furnished with tables and chairs. All outdoor furniture were observed to be in good condition. There are no bodies of water in the facility.

At 12:30PM LPA reviewed a random selection of 5 out of 15 files for staff present during the visit, all were observed to be complete and current at this time. LPA reviewed a random selection of 10 out of 81 client files, all were observed to be complete and current at this time. Facility appeared to be following the client - staff ratio requirements. The facility does not handle and client medications or personal and incidental funds.

LPA collected a copy of Certificate of Liability Insurance effective until 05/13/25

There were no deficiencies cited. Exit interview conducted. A copy of this report and appeal rights was given to the Program Director, Suzie Hastings.



SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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