565801134-1-10-2024-29-AS-TCAA-CZD2QL-20240110163608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 565801134
Report Date: 01/10/2024
Date Signed: 01/10/2024 04:36:39 PM

Document Has Been Signed on 01/10/2024 04:36 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:	OCEANVIEW WORKSHOP & RECREATION CENTER		FACILITY NUMBER:	565801134
ADMINISTRATOR:	SARAH ARMSTRONG		FACILITY TYPE:	775
ADDRESS:	575 EAST SURFSIDE DRIVE		TELEPHONE:	(805) 986-4818
CITY:	PORT HUENEME	STATE: CA	ZIP CODE:	93041
CAPACITY: 150		CENSUS: 66	DATE:	01/10/2024
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	01:23 PM
MET WITH:	Sarah Armstrong		TIME COMPLETED:	03:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Teresa Camara conducted a required annual continuation visit. The LPA met with Administrative Sarah Armstrong and explained the reason for the visit.

LPA was not able to speak with clients as they had all left the facility prior to LPA's arrival.

All staff on the schedule are fingerprint cleared and associated to the facility.

LPA interviewed two staff; there were no concerns.

Hot water temperature in both the mens' and womens' restrooms measured 105*F

Fire extinguishers were last serviced on 11/30/2023.

The fire suppression sprinkler system is certified for five years and the last inspection was conducted 10/21/2021. The fire protection company is scheduled to look at the sprinkler system on 1/11/2024.

The smoke alarms and fire alert system were tested on 3/1/2023 and all functioned properly.

LPA tested four carbon monoxide detectors and all functioned properly.

The emergency disaster plan was complete and disaster drills are conducted quarterly.

LPA reviewed five staff files and five resident files; all were complete. Medications were reviewed and appear to be given as prescribed.

No deficiencies were observed during this visit. Exit interview conducted and a copy of the report provided to the administrator.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

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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