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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610233
Report Date: 09/07/2023
Date Signed: 09/07/2023 02:28:11 PM


Document Has Been Signed on 09/07/2023 02:28 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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:OASIS SENIOR LIVINGFACILITY NUMBER:
197610233
ADMINISTRATOR:DANIELIAN, KHATCHIKFACILITY TYPE:
740
ADDRESS:7001 GARDEN GROVE AVENUETELEPHONE:
(310) 666-2392
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:0CENSUS: 3DATE:
09/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Khatchik DanielianTIME COMPLETED:
02:30 PM
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At 11:40 a.m. on 09/07/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the Licensee and disclosed the reason for the visit.

Today’s case management visit came in response to the issuance of a Notice of Operating in Violation of the Law (NOVL) due to a denied application. LPA reviewed records at 12:00 p.m., interviewed licensee and residents between 12:30 p.m. and 2:30 p.m., and toured the facility inside and out at 11:45 a.m. No immediate health and safety risks were observed.

LPA and Licensee discussed the details of the NOVL letter and the reasons for issuance. LPA disclosed the possibility of civil penalties and civil and/or criminal action being taken pursuant to Health and Safety Code Sections 1520.3, 1550.5, 1568.065, 1569.16, 1569.50, 1596.851, or 1596.885.

Exit interview conducted. Appeal rights discussed. Copy of report provided.

SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas ReedTELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2023
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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