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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610264
Report Date: 08/14/2023
Date Signed: 08/15/2023 08:46:56 AM

Document Has Been Signed on 08/15/2023 08:46 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:DREAM CARE FACILITYFACILITY NUMBER:
197610264
ADMINISTRATOR:MUSHEGHYAN, ANAHITFACILITY TYPE:
740
ADDRESS:9849 CANEDO AVENUETELEPHONE:
(947) 777-0770
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY: 6CENSUS: DATE:
08/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Anahit Musheghyan-Administrator TIME COMPLETED:
04:00 PM
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On 08/14/2023 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Nune Vanestyan and explained the reason for the visit. Shortly after, LPA met with Administrator Anahit Musheghyan. A tour of the physical plant was conducted at 10:30AM.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were stored in locked drawers and cabinets. Medications are locked in the kitchen cabinet. Medications observed to be locked and inaccessible to clients. LPA observed fully stocked first aid kit in the kitchen drawer.


Laundry Area-Garage: located through the kitchen. Appliances observed to be in good repair. Garage door was locked and thus laundry detergents were inaccessible to residents.
Temperature: Facility maintains a comfortable temperature of 77 degrees Fahrenheit.
Surrounding Grounds: Entry/exits were observed to be locked. The outdoor area was clean and free of hazards. There is large deck with a patio table and chairs shaded by a large umbrella for clients use in the backyard. Patio furniture observed to be in good repair with adequate seating for the residents.There is a pool observed to be enclosed by a fenced and locked.
Smoke Alarms and Carbon Monoxide: .The fire extinguisher is located in the dining room, observed to be fully charged and was purchased on 06/24/2023. Bathrooms: There were four (4) bathrooms in the facility. One (1) bathroom in hallway which is the main and three (3) bathrooms in the private bedrooms. All bathrooms were clean, properly supplied and had functional fixtures. Water temperatures were: 113.2,114.4,115.3 degrees Fahrenheit.Bedrooms: There were five (5) bedrooms designated for residents' use. Four (4) bedrooms are private and one (1)shared. All bedrooms were clean, properly furnished and had sufficient lighting. Common Areas: This includes the living room dining areas were appropriately furnished and lighting was adequate. The living room has a television and comfortable furniture.

No deficiencies issued during today’s visit. Report was signed and delivered and an exit interview was conducted

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2023
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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