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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 425802103
Report Date: 01/09/2025
Date Signed: 01/09/2025 11:25:53 AM

Document Has Been Signed on 01/09/2025 11:25 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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:ATTERDAG VILLAGE OF SOLVANGFACILITY NUMBER:
425802103
ADMINISTRATOR/
DIRECTOR:		PARKER, CHRISTOPHER WFACILITY TYPE:
775
ADDRESS:636 ATTERDAG ROADTELEPHONE:
(805) 688-3263
CITY:SOLVANGSTATE: CAZIP CODE:
93463
CAPACITY: 8CENSUS: 0DATE:
01/09/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Lori KelleyTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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At 10:40 am, on 1/9/25, Licensing Program Analyst (LPA) Rankin conducted an unannounced annual inspection of the facility above. LPA met with Lori Kelley, Director of Personal Care, and explained the reason for the visit. Kelley advised LPA that the Day Program was closed in March of 2020 and is not serving clients at this time.

LPA Rankin asked for a physical plant tour of the area that would be used for the Adult Day Program should it be reinstated. A tour of the physical plant was assessed, and the following was noted: LPA observed the license posted, personal rights, LTCO poster, Bill of Rights and CCL complaint poster. Fire extinguishers were last inspected April of 2024. No staff records were reviewed, and no participant records were reviewed at this time due to program not operating. LPA reviewed emergency disaster plan. LPA stated that if Day Program is opened again that they provide licensing notification.

Exit interview conducted and copy of report printed for Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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