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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610023
Report Date: 04/22/2023
Date Signed: 04/24/2023 03:03:30 PM


Document Has Been Signed on 04/24/2023 03:03 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:OASIS MANORS INC.FACILITY NUMBER:
197610023
ADMINISTRATOR:JHA, AKHILESH KUMARFACILITY TYPE:
740
ADDRESS:15116 ROXFORD STREETTELEPHONE:
(310) 995-4859
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:6CENSUS: 0DATE:
04/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:AKHILESH KUMAR JHA - AdministratorTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced one (1) year required visit at this facility. Upon arrival, LPA rang the bell and waited but no one responded, at 9:00 AM, LPA called the administrator and was told that the house is still under construction and currently at 70% completion. He also told LPA that there was no one working at the house nor any person inside the house at this moment and he is living about 30 mi away from the house. LPA looked over the gate and observed that the facility is indeed under major construction and told the administrator that any changes from the original sketch must be amended and a new fire inspection may be warranted.

Copy of this report will be emailed to the administrator for his signature, administrator provided his email.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary TanTELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2023
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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