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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320543
Report Date: 02/21/2025
Date Signed: 02/21/2025 04:03:45 PM

Document Has Been Signed on 02/21/2025 04:03 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
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
FACILITY NAME:RIGHTHAND ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
198320543
ADMINISTRATOR/
DIRECTOR:		WILLIAMS, TRAVONFACILITY TYPE:
735
ADDRESS:10949 S. HOBART BLVDTELEPHONE:
(213) 448-1711
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY: 3CENSUS: 0DATE:
02/21/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:28 PM
MET WITH:Travon WilliamsTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Component II completion: Successful

Facility Type: ARF
Application Type: Initial
Capacity: 3
Census (if any clients in care): 0
COMP II Participants: Travon Williams (CEO/Administrator)
Interview Method: Virtual interview via Microsoft Teams


On February 21, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:
1. Facility operation: License type, client/resident populations, and program
2. Admission Policies
3. Staffing requirements & Training
4. Restrictive/Prohibited Health Conditions
5. General provisions
6. Emergency Preparedness
7. Complaints & Reporting
8. Pre-licensing readiness
SUPERVISORS NAME: Biridiana Cisneros
LICENSING EVALUATOR NAME: Diamond Law
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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