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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609745
Report Date: 02/26/2026
Date Signed: 02/26/2026 02:42:45 PM

Document Has Been Signed on 02/26/2026 02:42 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
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:GROWTH EXTENDED INCFACILITY NUMBER:
197609745
ADMINISTRATOR/
DIRECTOR:		LEWIS, JOYFACILITY TYPE:
772
ADDRESS:15743 COVELLO STTELEPHONE:
(888) 948-9998
CITY:LAKE BALBOASTATE: CAZIP CODE:
91406
CAPACITY: 6CENSUS: 0DATE:
02/26/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:37 AM
MET WITH:Joy LewisTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual visit The LPA was greeted by a facility staff. The staff contacted the Administrator Joy Lewis via phone, and the LPA explained the reason for the visit. The Administrator stated they were out of town and authorized the staff to sign the visit report on their behalf. The Administrator informed the LPA that the facility does not currently have any clients admitted.

The facility operates as a Social Rehabilitation Facility, Short Term Crisis Residential Treatment Program with a maximum capacity of 6 ambulatory adults. The site is in a two-story single-family home. The LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:
BEDROOMS: There are three (3) bedrooms in the facility. All bedrooms are located on the ground floor and are designated for client use. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom number three (3) was observed to contain a direct exit to the outside of the facility. Bedrooms are shared bedrooms.
BATHROOMS: There are nine (9) Bathrooms located in the facility. The LPA observed four (4) half baths and five (5) full baths. LPA observed one (1) bathroom to be designated as a private resident bathroom attached to bedroom #2. Grab bars were observed in resident showers and near resident toilets, all grab bars observed were properly secured. The water temperature was measured at 127 degrees Fahrenheit. Water temperature must be adjusted to regulations limits between 105 to 120 degrees. All five (5) full bathrooms are missing a non-skid mats, and trash cans with tight closing lids; these must be supplied.Administrator stated that corrections will be done within 30 days.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: GROWTH EXTENDED INC
FACILITY NUMBER: 197609745
VISIT DATE: 02/26/2026
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KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. LPA observed the refrigerator/freezer to be in operable condition and maintained at an appropriate temperature for food storage. The seven day supply of non-perishable food and water was not available. Deficiencies must be corrected prior to admitting residents. Administrator stated that corrections will be done within 30 days.

COMMON AREAS: The common areas on the ground floor include the dining area / living room, a second living room area in the rear of the home, and an exercise room. The common areas on the second floor include two (2) open sitting rooms and a fully equipped theater. All common areas are furnished to adequately accommodate a maximum capacity of six (6) adults. The LPA observed three (3) fire alarms to be chirping throughout the visit, which is indicative that batteries need to be replaced. The facility’s combination fire and carbon monoxide detectors were tested and were functional at the time of the visit. The LPA observed cameras located throughout the facility’s common areas. The exercise room was observed to have a glass center living room table, a carpet rolled up and leaning against the wall, and several cardboard boxes with items inside. All items must be removed. Additionally, the LPA observed the shower stall in the exercise room to be missing the shower head, the shower drain and shower door. All fire extinguishers in the facility were observed to be expired and not serviced since 01/26/2019. Deficiencies must be corrected prior to admitting residents. Administrator stated that corrections will be done within 30 days of today's visit.

STAFF/OFFICE AREAS: The LPA observed three (3) office areas located on the ground floor of the facility. The LPA observed office #3 to contain a locked medication cart secured with a padlock and activities for resident use. The LPA observed a large conference style office area used for group sessions attached to office #3. The conference room has a door leading to a storage area with several items that can pose a potential danger to residents in care. The door was unlocked at the time of the visit. The LPA advised the Administrator that the door must be locked at all times. Office #3 contained a first aid kit that contained all required materials.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: GROWTH EXTENDED INC
FACILITY NUMBER: 197609745
VISIT DATE: 02/26/2026
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SURROUNDING GROUNDS: The LPA observed a wooden stairwell attached to the second floor and cleared for fire exit to be in disrepair with deteriorated wood and loose railings, which is an immediate danger to future residents in care. The side of the facility wooden walkway, which was cleared for fire exit by the Los Angeles Fire Department, was observed to be in disrepair with nail heads sticking out in several places, wood was observed to be cracked in several places which poses an immediate danger to future residents in care . The back outdoor area was observed to be cluttered with a broken floor lamp and ladder. The storage shed was observed to have broken pieces of wood and exposed nails sticking out which poses an immediate danger to future residents in care. There was no outdoor area furniture available for clients to use. Deficiencies must be corrected prior to admitting residents. Administrator stated that corrections will be made within 30 days of today’s visit.

RECORD REVIEW: No residents or staff files were reviewed, the facility does not have any residents.

MEDICATION REVIEW: Medication review was not conducted as no residents currently reside at the facility.

As there are no clients residing at the facility no deficiencies were cited during today’s inspection. However Technical violations were created. The LPA informed the Administrator that all required corrections must be completed regardless if residents are present or not, as the deficiencies create a potential and/or immediate risk to future residents in care. Administrator provided a date for the corrections for the deficiencies observed during today’s visit and will submit proof with pictures to LPA by POC due date: 03/26/2026.

Exit interview was conducted with the Administrator over the phone. Designated facility representative signed the report. A copy of the report was issued.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
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