197608646-3-15-2022-31-AS-NRED-CCJPQZ-20220315113159

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197608646
Report Date: 03/15/2022
Date Signed: 03/15/2022 11:32:26 AM

Document Has Been Signed on 03/15/2022 11:32 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:	PARADISE ADULT DAY TREATMENT CENTER, INC.		FACILITY NUMBER:	197608646
ADMINISTRATOR:	SIMA HAKOBYAN		FACILITY TYPE:	775
ADDRESS:	7133-7135 OWENSMOUTH AVENUE		TELEPHONE:	(818) 312-1118
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91303
CAPACITY: 45		CENSUS: 14	DATE:	03/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Tigran Nerseyan		TIME COMPLETED:	11:40 AM

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At approximately 9:30 AM on 03/15/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA met with Program Manager and disclosed the reason for the visit. LPA and Program Manager toured the facility inside and out.

Census: 14 consumers

This is a one story building with an office, conference room, storage room, utility closet, computer room, weight management room, file room, garage, one large activity room, five small activity rooms, break room, waiting room and three bathrooms. All rooms were locked by fire doors with automatic exterior locks, and the facility has fire sprinklers and alarms throughout. The facility provides no medical services and does not store medication. Consumers and staff enter the facility through the back gate.

Upon entry, LPA observed postings such as personal rights, building permits, and the facility’s license. The waiting area provided sanitizing wipes and hand sanitizer. LPA observed 3 fire extinguishers at the front and the back of the facility which were fully charged and last inspected on 01/05/2022. Emergency exit plans were posted in each room and throughout the facility. Emergency exit plans had current location and exit routes labeled clearly. All exit paths were free from hazards and obstructions. The facility’s COVID policies and practices were posted on various signs throughout the facility.

Bathrooms: LPA observed men’s, women’s, and staff bathrooms. All bathrooms contained fully stocked liquid soap and trash cans. Staff provide paper towels and toilet paper as needed due to consumer impulse control. LPA recommended facility obtain trash cans with tight fitting lids and handwashing instruction signs by all sinks.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

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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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: PARADISE ADULT DAY TREATMENT CENTER, INC.	FACILITY NUMBER: 197608646
	VISIT DATE: 03/15/2022

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Garage: LPA observed chemicals and cleaning solutions locked in the garage. LPA also saw additional PPE and an emergency water supply.

Break Room: The break room contained a first aid kit, 4 refrigerators, and 2 microwaves. Consumers store their lunches in the break room, and the facility provides snacks there.

All rooms, floors, ceilings, and furniture were clean and in good repair. Activity rooms contained arts and crafts, athletic supplies, and televisions. All seating was arranged to accommodate physical distancing. Facility files were locked in the file room. Consumers were observed exercising outdoors with staff and performing activities indoors with staff during the visit.

LPA viewed logs in which facility documents consumer temperatures and symptom checks.. When staff remain out of facility for over 72 hours they are required to provide a negative COVID test.

During today's visit, facility was in compliance with Title 22 Regulations, no citations were issued.

Exit interview conducted and copy of the report issued.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

LIC809 (FAS) - (06/04)

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