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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608646
Report Date: 04/24/2023
Date Signed: 04/24/2023 12:39:15 PM

Document Has Been Signed on 04/24/2023 12:39 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:PARADISE ADULT DAY TREATMENT CENTER, INC.FACILITY NUMBER:
197608646
ADMINISTRATOR:SIMA HAKOBYANFACILITY TYPE:
775
ADDRESS:7133-7135 OWENSMOUTH AVENUETELEPHONE:
(818) 312-1118
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY: 45CENSUS: 30DATE:
04/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Tigran Nersesyan-Program ManagerTIME COMPLETED:
01:00 PM
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Licensing Program Analysts (LPAs) Mariana Agban and Angela Panushkina conducted an unannounced annual visit. LPAs met with the Program Manager and Program Director and explained the reason for the visit.

LPAs conducted a tour of the physical plant at 10:10am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The day program is located in a one story building. Upon entry, LPAs observed postings such as personal rights, building permits, and the facility’s license. The waiting area provided sanitizing wipes and hand sanitizer. Facility maintains a comfortable temperature of 75°F. LPAs observed 3 fire extinguishers at the front and the back of the facility which were fully charged and last inspected on 01/10/2023. Emergency exit plans were posted in each room and throughout the facility. In addition, LPAs observed 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. Two (2) out of three (3) bathroom were designated for clients use. LPAs observed all bathrooms to have grab bars, paper towels and trash cans. The hot water measured between 115.3 – 117.2°F. All rooms were locked by fire doors with automatic exterior locks. Smoke detectors/carbon monoxide and fire sprinklers are located throughout the facility and are hardwired. A fire alarm initial test was conducted by LAFD on 01/13/23. The facility provides no medical services and does not store medication. Consumers and staff enter the facility through the back gate.



Between 11:00am to 12:00pm, LPAs reviewed records of four (4) residents and two (2) staff. Resident and staff records appeared to be complete and updated.
Administrative: LPAs collected Certificate of Liability Insurance and LIC500.

No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2023
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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