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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198203062
Report Date: 08/23/2021
Date Signed: 08/23/2021 10:47:05 AM

Document Has Been Signed on 08/23/2021 10:47 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:FRANK CALA HOUSEFACILITY NUMBER:
198203062
ADMINISTRATOR:RAFAEL LOPEZFACILITY TYPE:
736
ADDRESS:8500 HANNA STREETTELEPHONE:
(818) 347-1777
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY: 6CENSUS: 4DATE:
08/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Sylvia CorletoTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced required annual. LPA met with facility staff and explained the reason for this visit.
The facility is a single-story home consisting of a living room, dining room, kitchen, office, 4 client bedrooms, one staff office, 2 bathrooms, and a garage/ laundry area. There is a backyard and patio area which wraps around and exits on both sides of the house.
LPA inspected the clients' rooms, observing them to be clean and appropriately furnished. Bathrooms were sanitary and contained working fixtures. Hot water temperature measured between 105- and 120-degrees Fahrenheit. The kitchen was clean, containing working appliances and an adequate supply of perishable and non-perishable foods. Knives, cleaning supplies and other potentially hazardous items were secured and inaccessible. Common areas were clean and appropriately furnished as was the outdoor patio area. The garage and laundry area are locked and used for storage. LPA observed the fire extinguishers to be charged, emergency disaster plan posted, and smoke/ carbon monoxide detectors functional.
Facility had all the required postings up including postings regarding Covid-19.
No deficiencies cited. Exit Interview conducted.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2021
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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