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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609488
Report Date: 04/06/2022
Date Signed: 04/06/2022 11:21:00 AM


Document Has Been Signed on 04/06/2022 11:21 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:LIVELY HOME CAREFACILITY NUMBER:
197609488
ADMINISTRATOR:TOPACIO, MARFIEBETHFACILITY TYPE:
740
ADDRESS:44328 LIVELY AVETELEPHONE:
(661) 945-5376
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:6CENSUS: 6DATE:
04/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:MarfibethTIME COMPLETED:
11:30 AM
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At 10:15 a.m. Licensing Program Analyst (LPA) Melissa Ruiz conducted an unannounced annual inspection at this facility. LPA was greeted by staff and later met with Administrator Marfibeth Topacio, and an entrance interview was conducted.

At 10:45 a.m. a physical tour was initiated with the Administrator. This is a 6-bedroom, 2-bathroom facility. Infection control: Upon arrival, staff took LPA’s temperature, but was not asked to sign-in the visitor’s log. LPA reminded staff and Administrator to ensure all visitors are asked to sign in. Proper signage was observed posted outside the facility and inside along the hallway. Hand sanitizer was also observed. LPA observed sufficient PPE supplies for residents and staff. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas were clean and inaccessible to pests. Sharps are kept inaccessible to residents. Medications are in a centrally stored and are kept locked in a cabinet along the hall. Laundry: There is a designated laundry room near the kitchen where chemicals and cleaning supplies are kept inaccessible to residents in care. Smoke detectors/carbon monoxide were located throughout the facility and appear to be functional. Fire extinguisher was last serviced on 4/6/22. Resident rooms: There are 5 bedrooms designated for residents. All bedrooms are properly furnished, have appropriate bedding, and linens. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor seating, with various covered shaded areas for residents. There are no bodies of water.

No deficiencies observed at this time. Exit interview conducted and report signed and delivered.

SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa RuizTELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
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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