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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801134
Report Date: 11/30/2022
Date Signed: 12/01/2022 08:50:20 AM

Document Has Been Signed on 12/01/2022 08:50 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:OCEANVIEW WORKSHOP & RECREATION CENTERFACILITY NUMBER:
565801134
ADMINISTRATOR:SARAH ARMSTRONGFACILITY TYPE:
775
ADDRESS:575 EAST SURFSIDE DRIVETELEPHONE:
(805) 986-4818
CITY:PORT HUENEMESTATE: CAZIP CODE:
93041
CAPACITY: 150CENSUS: 31DATE:
11/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sarah ArmstrongTIME COMPLETED:
03:35 PM
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Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 2:30 p.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrative Sarah Armstrong and explained the reason for the visit.

The LPA toured the physical plant areas to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide detectors, smoke alarms, fire suppression system and fire extinguishers were all inspected by Mitchell Fire Protection on 10/4/2022.

KITCHEN: Knives stored in locked drawer. Dish soap stored in locked cabinet under sink. The facility has a sufficient supply of non-perishable emergency food and water.

RESTROOMS: Restrooms are clean and sanitary and in operating condition.

COMMON SPACES: At the time of the visit, furnishings were observed to be in good condition. The LPA observed the required postings throughout the facility.

INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening and sanitation station. All facility staff were observed wearing masks. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility has appropriate plans in place in the event of clients and/or staff showing symptoms of COVID or testing positive for COVID.

No deficiencies were observed. Exit interview conducted and a copy of the report emailed to the administrator.

SUPERVISORS NAME: Jeralyn Ann Pfannenstiel
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
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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