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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609335
Report Date: 03/19/2025
Date Signed: 03/19/2025 09:34:11 AM

Document Has Been Signed on 03/19/2025 09:34 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:PEOPLE'S CARE MCENNERY CANYONFACILITY NUMBER:
197609335
ADMINISTRATOR/
DIRECTOR:		SARAH LONGFACILITY TYPE:
735
ADDRESS:34310 MCENNERY CANYON RDTELEPHONE:
(661) 269-2679
CITY:ACTONSTATE: CAZIP CODE:
93510
CAPACITY: 4CENSUS: 4DATE:
03/19/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Sarah Long / AdministratorTIME VISIT/
INSPECTION COMPLETED:
09:40 AM
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Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management visit to this facility. The purpose of today’s visit was to serve the Order of Immediate Exclusion from Facility for Staff #1 (S1). LPA was greeted by staff and granted entry. At the time of visit LPA observed two (2) client and three (3) staff. Staff contacted the administrator via telephone and informed them LPA was at the facility. Administrator met LPA shortly after.

On today's visit LPA met with Administrator, Sarah Long and explained the reason for the visit. Administrator was served an Immediate Exclusion Order for S1. The Administrator informed LPA that S1 has never worked for the facility since they have been the administrator.

No immediate Health and Safety Hazard were noted during this visit.

Exit interview conducted. A copy of the report was provided to the Administrator.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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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