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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561703573
Report Date: 10/27/2023
Date Signed: 10/27/2023 09:52:45 AM


Document Has Been Signed on 10/27/2023 09:52 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:ELMS RESIDENTIAL CAREFACILITY NUMBER:
561703573
ADMINISTRATOR:HIGGINS, FE LILIA 98FACILITY TYPE:
740
ADDRESS:67 EAST BARNETTTELEPHONE:
(805) 643-2176
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY:54CENSUS: 44DATE:
10/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Fe HigginsTIME COMPLETED:
09:55 AM
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Licensing Program Analyst (LPA) Esther Cortez and Licensing Program Manager (LPM) KaSandra Lopez conducted an unannounced Case Management - Other visit and met with Licensee/Administrator Fe Higgins.

The purpose of today's visit was to meet with Licensee/Administrator Fe Higgins to discuss the potential future closure of the facility and to discuss proper closure procedures. The Licensee stated they have received multiple offers but has not agreed to any offers and has not signed any paperwork.

LPM Lopez discussed Health and Safety code 1569.682 with the Licensee. The Licensee understand that the residents must receive at least a 60 day notification of the closure with the requirements of Health and Safety code 1569.682 and prior to providing the 60 day notice to the residents, due to the size of the facility the licensee must first submit a closure plan pursuant to 1569.682 to Community Care Licensing (CCL) and receive approval first prior to issuing the 60 day notice to the residents.

The Licensee stated they understood the closure requirements and has the assistance of Consultant Becky Spring and Ventura County Behavior Health to assist with the future closure. The Licensee understands any potential buyers must be aware and understand the regulation requirements of the closure of a licensed facility.

Exit interview conducted. A copy of Health and Safety Code 1569.682, sample eviction notice and today's report was provided to Licensee.
SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2023
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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