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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 425801734
Report Date: 03/20/2025
Date Signed: 03/20/2025 01:22:51 PM

Document Has Been Signed on 03/20/2025 01:22 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
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:OANI HOME CARE FOR THE ELDERLY, INC.FACILITY NUMBER:
425801734
ADMINISTRATOR/
DIRECTOR:
SHIRLEY C. OANIFACILITY TYPE:
740
ADDRESS:936 N. SENECA STREETTELEPHONE:
(805) 354-0983
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
03/20/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:01 AM
MET WITH:Shirley OaniTIME VISIT/
INSPECTION COMPLETED:
01:30 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
At 9:01 am on 03/20/2025, Licensing Program Analyst (LPA) Rankin arrived unannounced to the facility to conduct the annual facility inspection. LPA met with Administrator, Shirley Oani, and announced the reason for the visit.

This is a 5-bedroom, 3-bathroom facility, 4 bedrooms are resident bedrooms and 1 bedroom is a staff room. LPA and Administrator conducted a walking tour of the facility. LPA noted that there is a nice back yard with a covered pergola for shade for residents and visitors. LPA noted that the grass area is unfinished, per administrator area project has been canceled and current supplies will be removed. LPA noted that there are smoke detectors and a carbon monoxide detector working and located throughout the facility. LPA noted that there is a charged and recently inspected fire extinguisher located in the kitchen area. LPA noted that their resident rooms are lighted and furnished with regulation standards. All walkways both inside and out are clear of obstruction. Facility fire clearance notes an exit is available in 3 out of the 4 resident bedrooms, administrator was reminded that all exits must be usable and clear of furnishings. There is at least 2 days of perishable and at least 7 days of non-perishable foods on hand at the facility. Generator and emergency water are located in the facility garage. LPA conducted medication audit with no issues. LPA reviewed staff records and current training with no issues. LPA reviewed resident files and found no issues. LPA noted that the facility is clean and in good repair and found no issues on the facility walking tour. LPA noted that there were no violations, or citations issued as a result of the visit.

Exit interview, report read, and report provided.

Kelly BurleyTELEPHONE: (805) 562-0413
Melisa RankinTELEPHONE: (805) 635-4718
DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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 9