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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 425802113
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:03:13 PM

Document Has Been Signed on 01/16/2025 02:03 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:MOMENTUM WORK, INC. MARSALAFACILITY NUMBER:
425802113
ADMINISTRATOR/
DIRECTOR:
JOSEFINA SARABIAFACILITY TYPE:
735
ADDRESS:1424 W. MARSALA AVE.TELEPHONE:
(805) 349-7908
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 4CENSUS: 4DATE:
01/16/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Josie Sarabia, AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Erika Miller arrived unannounced to conduct a one year required annual inspection. LPA met with Administrator and explained the reason for the visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen: The facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored and locked in a cabinet in the garage and laundry room, inaccessible to clients. Knives are stored in a locked drawer in the kitchen.

Common areas: Living and dining room furniture were observed to be in good condition. The carbon monoxide detector and smoke detector were tested and operational at the time of the visit. LPA observed required postings throughout the common space. The fire extinguishers were charged and serviced 1/3/2025.

The backyard has an umbrella for shade and is equipped with furniture for client use. No bodies of water noted. The washer and dryer are in the laundry room. The laundry room is locked.

Restrooms: The client restrooms were clean and sanitary and in operating condition. The bathrooms were sufficiently stocked with soap and paper towels.

Bedrooms: There are four (4) client rooms, which were furnished with appropriate linens and required furniture. A linen closet was located outside of the rooms, which stocked extra linens and towels.

Records: LPA reviewed four (4) client files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and needs and services plan. The last disaster drill was conducted on 1/3/25.

Medications: Medications are centrally stored and locked in a closet in the hallway. Medications are labeled and checked for expiration dates.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Erika Miller
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: MOMENTUM WORK, INC. MARSALA
FACILITY NUMBER: 425802113
VISIT DATE: 01/16/2025
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Infection Control: The facility has an infection control plan. The facility has an adequate supply of Personal Protection Equipment (PPE).

Exit interview conducted. A copy of the report was issued.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Erika Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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