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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609906
Report Date: 12/15/2025
Date Signed: 12/15/2025 11:29:53 AM

Document Has Been Signed on 12/15/2025 11:29 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:JAMISON PARKRIDGE, INC.FACILITY NUMBER:
197609906
ADMINISTRATOR/
DIRECTOR:		JAMISON, JANETFACILITY TYPE:
735
ADDRESS:28054 PARKRIDGE LANETELEPHONE:
(661) 309-6008
CITY:SANTA CLARITASTATE: CAZIP CODE:
91387
CAPACITY: 4CENSUS: 2DATE:
12/15/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Rosalinda RapadaTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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An unannounced Required One (1) year visit was conducted by Licensing Program Analyst (LPA) Tuesday Cabiness. LPA met with Co Administrator Rosalinda Rapada, who was informed the reason of the visit. Administrator Janet Jamison was not available and was notified via phone. The current census is (4); but during the visit, there were(2) clients present. LPA observed Licensing and COVID signs posted throughout the facility. Administrator certificate current and valid until July 01, 2026.

The following inspection included: Fire extinguishers were charged and first aid kit had all requirements. During the tour, LPA observed that the facility has four (4) bedrooms and three (3) bathrooms. One (1) bedroom and one (1) bathroom is designated for staff use.

Kitchen: LPA toured the kitchen area and observed enough supplies of non-perishable for minimum (1) week and perishable for (2) days at the facility. Appliances in the kitchen appeared to be functional. All knives and sharp objects were locked and inaccessible to clients in care. There are (2) extra freezers and (2) refrigerators located in the garage, stocked with food. Chemicals and toxins are locked and secured in the laundry room.

Bedrooms were toured and observed to be clean and appropriately furnished, with appropriate bedding and linens.


Bathrooms were observed to be clean, sanitary and with necessary supplies. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 109.7. LPA observed grab bars and non-skid mats as well as hand washing signs posted in each bathroom. All trash cans had fitted lids.

(see LIC809C cont'd)

NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Tuesday Cabiness
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2025
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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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 S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: JAMISON PARKRIDGE, INC.
FACILITY NUMBER: 197609906
VISIT DATE: 12/15/2025
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Surrounding Grounds: There was furniture appropriate for outdoor use. All passageways were free of obstruction. There was no swimming pools or other bodies of water. Gates were easily accessible and open.

Resident Records: Clients files were reviewed; LPA checked resident files for updated appraisals and other required documents observed in the file.

Cash Resources: Logs and cash resources were consistent. C1 & C2 handle there own money.

Medications: Medications are consistent with the logs on file. Doctor's orders for medications are in file. PRN log is maintained medications are given as prescribed.

Staff Records: Staff files included first aid certifications and staff have criminal record clearance; as well as current training records.

Exit Interview Conducted / A Copy of the Report Issued.
NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Tuesday Cabiness
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC809 (FAS) - (06/04)
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