<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608719
Report Date: 12/14/2023
Date Signed: 12/14/2023 11:23:24 AM

Document Has Been Signed on 12/14/2023 11:23 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:PEOPLE'S CARE BLISS CENTER VALENCIAFACILITY NUMBER:
197608719
ADMINISTRATOR:BENNAGE, CATHERINEFACILITY TYPE:
775
ADDRESS:28720 THE OLD ROADTELEPHONE:
(661) 283-0102
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 45CENSUS: 29DATE:
12/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jonathan Leonard, Program ManagerTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Abeye Duguma met with Jonathan Leonard for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 10:00 AM and the following was noted:

Facility is designed for an adult behavior day program that works with the North Los Angeles County Regional Center. The program operates between 8:00am to 2:00pm. There are several activity rooms ranging from arts and crafts to computers. The clients are provided care and supervision while at the day program. Clients activities schedule is posted along with their personal rights. The staff schedule was reviewed and there is sufficient staff to provide care during operating hours.

Dual smoke and carbon monoxide detectors were located throughout the facility, and at 10:40 AM they were tested and observed to be operational. The facility conducts fire/emergency drills monthly. There are bathrooms for male and female clients. Bathrooms observed to be clean and functional. The water temperature from kitchen to bathroom sink ranged from 118.1-119.3°F.

No citations issued during this visit.

Exit interview conducted.

A copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2023
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 1