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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565800360
Report Date: 08/01/2024
Date Signed: 08/01/2024 03:37:55 PM

Document Has Been Signed on 08/01/2024 03:37 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:ARC-OJAI ENRICHMENT CENTERFACILITY NUMBER:
565800360
ADMINISTRATOR/
DIRECTOR:		AMBER LUNDEENFACILITY TYPE:
775
ADDRESS:210 CANADATELEPHONE:
(805) 646-5186
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY: 105CENSUS: 42DATE:
08/01/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:39 AM
MET WITH:Jordan HunterTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Teresa Camara conducted a Required Annual Inspection at the facility. LPA met with back-up Administrator/Program Supervisor Jordan Hunter and explained the reason for the visit.
This facility is vendored by Tri-Counties Regional Center. Upon arrival, there were forty-two (42) clients and twelve (12) staff. The program currently operates from 8:00 a.m. to 2:00 p.m. The day program was staffed with 1:4 staff to consumer ratios and two 1:1 staff to consumer ratios.

At 1:20 p.m. LPA and Administrator toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Fire extinguishers were last serviced on 6/17/2024 and appeared fully charged. Smoke alarms and carbon monoxide detector were tested and functioned properly.

Common Activity Space: The facility is a single-story structure with a gallery/medication room, recreation room, art room, sensory room, event room, music room, two offices, two restrooms, and a food service area. LPA did not observe any obstructions or hazards during the inspection. The program site appeared to be clean, safe, sanitary, and in good repair at this time. Cleaning supplies are stored in a locked area.

Activities: Activities are both designed for individual and as a group. Activity supplies were observed in all the rooms.

Food Service: The kitchen areas were clean and in good condition. Consumers bring their lunch and snacks. The facility has emergency food supplies and snacks available for consumers.

(continued on LIC809-C)
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
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 2
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: ARC-OJAI ENRICHMENT CENTER
FACILITY NUMBER: 565800360
VISIT DATE: 08/01/2024
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(continued from LIC809)

Restrooms: The two restrooms were observed to be clean and sanitary with a hand soap and paper towels. The hot water temperature in the restroom was tested and measured at 140.1 - 141.2 degrees Fahrenheit. The Administrator turned down the water heater during the visit and will check the temperature daily from here on out.

LPA will return at a later date to complete a review of records, a medication audit, and interviews of clients and staff.

No deficiencies were cited during this visit. Exit interview conducted and copy of the report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
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