<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600200
Report Date: 05/31/2024
Date Signed: 05/31/2024 11:41:00 AM

Document Has Been Signed on 05/31/2024 11:41 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:UNIVERSAL DAY PROGRAM,INC.FACILITY NUMBER:
198600200
ADMINISTRATOR/
DIRECTOR:		AREVIK MATEVOSIANFACILITY TYPE:
775
ADDRESS:4219 WEST BURBANK BLVD.TELEPHONE:
(818) 848-5236
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 60CENSUS: 34DATE:
05/31/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Emma PintoTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Abeye Duguma met with Program Supervisor, Emma Pinto, for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 9:00am and the following was noted:

There are two entrances being utilized at the facility. The facility is fire cleared for forty (40) ambulatory and twenty (20) non-ambulatory clients. The facility is currently providing services to thirty-four (34) clients.

The facility does not have a swimming pool/body of water. LPA observed activities room with games, puzzles and other activities, computer lab and gym for clients.

Cleaning agents and other toxins are locked away. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to clients. Common area furniture was also checked. The common area is neat and clean.

The facility's last fire inspection was conducted on 04/02/2024. The most recent disaster drill was completed 03/07/2024. Fire extinguishers are located throughout the facility, observed to be full and last inspected on 05/09/2024. The facility has enough hygiene products available to the clients. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 113.7°F. LPA observed a complete first aid kit.

No health and safety hazards noted during the visit.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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 1