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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601390
Report Date: 11/04/2022
Date Signed: 11/04/2022 12:56:09 PM

Document Has Been Signed on 11/04/2022 12:56 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:NEW DAY MONTEBELLO WEIGHT MANAGEMENTFACILITY NUMBER:
198601390
ADMINISTRATOR:MATILDAKODJANIANFACILITY TYPE:
775
ADDRESS:511 WASHINGTON BLVD.TELEPHONE:
(323) 726-1444
CITY:MONTEBELLOSTATE: CAZIP CODE:
90640
CAPACITY: 120CENSUS: 37DATE:
11/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Matilda Kodjanian/S-1 (Administrator)TIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Matilda Kodjanian/S-1 and explained the purpose of today's visit.

This program consists of the following: (1) lobby, (1) activity/meeting room, (3) offices, (1) staff break room, (2) classrooms, (1) kitchen, (2) restrooms, (1) storage room for supplies, (1) changing room, (1) electricity room, (1) gym, (1) equipment room and (1) computer room.

The following were observed/inspected: .
  • COVID-19 Infection Control Practices (including signs) were observed.
  • Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing were observed.
  • PPE supplies observed. Additional supplies were stored inside the office.
  • Restrooms have liquid hand soap and electric hair hand dryer. Hand washing signs observed. All these items were observed in both bathrooms.
  • Hand sanitizers observed throughout the building.
  • Clients bring their own lunch. However, this program provides snacks. Snacks were observed.
  • Clients do not take medication during programming hours. Therefore, program does not have any medications to safeguard.
  • Clients were socially distanced according to local public health guidelines.

Exit interview conducted, a copy of this report and appeal rights were provided to Matilda Kodjanian/S-1

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2022
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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