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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601529
Report Date: 02/12/2025
Date Signed: 02/12/2025 10:25:23 AM

Document Has Been Signed on 02/12/2025 10:25 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:HIGHLAND PARK GUEST HOME, INC.FACILITY NUMBER:
198601529
ADMINISTRATOR/
DIRECTOR:		ROBERT S. IVES JRFACILITY TYPE:
735
ADDRESS:345 N. AVE 57TELEPHONE:
(323) 529-4267
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 40CENSUS: 39DATE:
02/12/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Maria Lopez, Assistant AdministratorTIME VISIT/
INSPECTION COMPLETED:
10:25 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
On 2/12/25 at 9:20AM Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Case Management visit to the facility to check on the client(s) who were evacuated due to the wildfires that had taken place. LPA was greeted by Day Attendant, Brenda Bobadilla. LPA stated the reason for their visit. Assistant Administrator Maria Lopez arrived about fifteen (15) minutes after to assist with the visit.

LPA asked for census, staff and client rosters.

Assistant Administrator stated they were supposed to receive three (3) clients but the three (3) clients never arrived. The facility has no fire clients. A physical plant tour was conducted at around 9:40AM to ensure the health and safety of other clients.

LPA's observed several clients outside in the patio areas. LPA also observed several clients in their room areas watching television. The facility is fire cleared for 18 through 59 years old who are mentally disabled. Random bedrooms and bathrooms were toured for health and safety checks. LPA toured all common areas of the facility.

The facility does not have a swimming pool or body of water. There is no garage just a car port.

The outside area was free of any debris/obstruction areas.

No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Assistant Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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