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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601390
Report Date: 11/16/2023
Date Signed: 11/16/2023 02:40:11 PM

Document Has Been Signed on 11/16/2023 02:40 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: 36DATE:
11/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Matilda KodjanianTIME COMPLETED:
02:30 PM
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) Alma Gonzalez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Matilda Kodjanian, and the purpose of today’s visit was explained. LPA was granted access to the facility.

The facility is licensed to serve 120 developmentally disabled clients over the age of 18 years of which 12 may be non-ambulatory. As a part of the inspection, LPA reviewed client records, staff records, and inspected the entire facility. The last fire drill was conducted on 10/30/2023. The last earthquake drill was conducted on 10/23/23.

The Day Program is located in a commercial business building and is a single-story structure. The facility consists of the following: Lobby/Reception area, administrative offices, staff break room, changing/ resting room, (2) activity rooms, computer room, classroom, dining room/multipurpose room, gym, supervisor office, area, electric room, storage room, kitchen, (1) men's restroom (3 stalls and 3 urinals), and (1) women's restroom (6 stalls).

LPA and Administrator Matilda Kodjanian toured the physical plant. All rooms were inspected. The facility walls/ floors were in good condition, and there is adequate lighting throughout the facility. The kitchen and dining room are clean and well maintained. The bathrooms were found to be within Title 22 regulation. A comfortable temperature for clients is maintained at all times. Hot water temperature measured between 105 degrees F and 120 degrees F (110F). The kitchen was inspected, and sufficient non-perishable food was adequately maintained. The facility does not provide lunch and only provides snacks, Clients bring their lunch to the program. The fire extinguishers were properly charged, smoke and carbon monoxide detectors are operational. The first aid kit was stocked with manual and available for use. Exits/ Walkways around the

Continued on LIC 809-C

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Alma Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 MANAGEMENT
FACILITY NUMBER: 198601390
VISIT DATE: 11/16/2023
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
26
27
28
29
30
31
32
facility were free of debris and hazards. The facility is in good repair. The program does not administer any medications. Toxins and sharps were locked and inaccessible to clients. Outside grounds were toured and no bodies of water were observed.

During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations in common areas, entries and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan.

Client/staff files are current and in compliance. Staff responsible for direct care and supervision have current First Aid and CPR. Documents are posted as mandated.



No deficiencies were observed during today's visit.

An exit interview was conducted and a copy of this report was provided to Administrator Matilda Kodjanian.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Alma Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2