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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197690039
Report Date: 08/05/2025
Date Signed: 08/05/2025 01:56:49 PM

Document Has Been Signed on 08/05/2025 01:56 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:LA VENTANA TREATMENT PROGRAMSFACILITY NUMBER:
197690039
ADMINISTRATOR/
DIRECTOR:		JENNIFER L ENRIQUEZFACILITY TYPE:
772
ADDRESS:779 BRIAR CLIFF ROADTELEPHONE:
(805) 371-5700
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 6CENSUS: 6DATE:
08/05/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:58 AM
MET WITH:JENNIFER L ENRIQUEZTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 9:50 a.m. The LPA was greeted by staff and Administrator Jennifer Enriquez, and informed them of the reason for the visit. Chief Clinical Officer/ LMFT Sharon Volner and Director of Nursing /LVN Andrea Muladore arrived shortly thereafter.

The LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. Knives were locked and inaccessible in a lower cabinet. Additional food supplies and emergency food is kept in the attached garage. The LPA observed the entrance closet where all medications are kept locked and inaccessible.

BEDROOMS: There are three (3) designated client rooms that are shared, double occupancy bedrooms. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway with extra towels and linens.

BATHROOMS: There are four (4) total bathrooms of which three (3) are for client use and one (1) is for staff use that remains locked at all times. Client bathrooms were clean, sanitary and in operating condition. Bathrooms are sufficiently stocked with liquid hand soap and paper towels. Bathrooms were measured for hot water temperature and ranged between 109.2 - 111.1 degrees Fahrenheit all within the required range.

REPORT CONTINUED ON LIC 809-C PAGE 2...

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Erica Mosley
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: LA VENTANA TREATMENT PROGRAMS
FACILITY NUMBER: 197690039
VISIT DATE: 08/05/2025
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(PAGE 2) REPORT CONTINUED FROM LIC 809...
TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: There is a living room, Zen Den /meditation room, Rec room with a gym and an office/ administration of meds room. The office/ administration of meds is kept inaccessible to clients unless properly supervised. Refrigerated medications are stored in a fridge in the office/ medication administration room. The first aid kit was observed to be complete.
INFECTION CONTROL/DISASTER PREPAREDNESS: During today’s visit, the LPA reviewed the facility's infection control policy and disaster preparedness policies. Emergency/ disaster drills are conducted quarterly with the last drill on 06/09/25 and 06/23/25 to cover all shifts. All items reviewed were in compliance.
GROUNDS: There are two (2) covered patio areas with patio furniture including tables and chairs for client use, benches and a water fountain/fall. Facility has one (1) fenced gate that self-latches with clear passageways for emergency exit use.
COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for client use. Fire extinguisher was observed to be last serviced on 05/05/2025. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested at 1:48 p.m. and operational at the time of the visit. The LPA observed required postings throughout the common spaces. There is a laundry room that contains a chemical cabinet and cleaning supplies that is locked and inaccessible to clients. The garage is attached and is used as a gym room and rec room.
RECORDS: Records review began at 10:12 a.m., six (6) client records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Five (5) personnel records including the directors file were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and all the appropriate training. All records were in order.
MEDICATIONS: Medications review began at 11:52 a.m; medications are centrally stored and locked in a closet at the entrance of the facility. Medications are labeled and checked for expiration dates. Medications were reviewed for three (3) clients. Medications were properly labeled and appeared to be administered as prescribed.
INTERVIEWS: During today's visit, LPA interviewed three (3) staff. Clients were engaged in group sessions and unavailable during the time of the visit. Staff interviews revealed that staff are knowledgeable in client rights, different forms of abuse and reporting procedures.

No deficiencies cited. Exit interview conducted and a copy of the report issued.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Erica Mosley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
LIC809 (FAS) - (06/04)
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