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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609544
Report Date: 05/18/2022
Date Signed: 05/18/2022 03:22:49 PM

Document Has Been Signed on 05/18/2022 03:22 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:EPT BETTER LIVINGFACILITY NUMBER:
197609544
ADMINISTRATOR:TABACH, ELENAFACILITY TYPE:
735
ADDRESS:18217 WELBY WAYTELEPHONE:
(818) 457-4199
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 4CENSUS: 0DATE:
05/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Paul TabachnikovTIME COMPLETED:
01:40 PM
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At 1:25 p.m. on 05/18/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA observed a maintained front yard and signs hung on the front door regarding the facility’s visitation policy and masking requirement. After multiple attempts at ringing the doorbell and knocking, LPA called the administrator at 1:37 p.m and informed of the purpose of the visit. The administrator explained clients and staff attend Day Program from 9:00 a.m. to 3:00 p.m. LPA informed the administrator he would return at an unspecified future date to conduct the facility’s annual inspection when clients are present.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2022
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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