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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801379
Report Date: 09/18/2024
Date Signed: 09/18/2024 04:45:09 PM

Document Has Been Signed on 09/18/2024 04:45 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:VOCATIONAL SKILLS SERVICES, INC.-ADP/SAVIERSFACILITY NUMBER:
565801379
ADMINISTRATOR/
DIRECTOR:		LAILANI MACASIASFACILITY TYPE:
775
ADDRESS:4225 SAVIERS ROAD, SUITE #10TELEPHONE:
(805) 487-5848
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 12CENSUS: 8DATE:
09/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Leilani Macasias, AdministratorTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced annual required visit. LPA met and toured the facility with Leilani Macasias, Administrator. The program is a non-profit Adult Day Program. The facility operation is in a leased building by the non-profit corporation 501(c)(3). The facility maintains a contract with Tri-Counties Regional Center.
The facility location is located in a business area of the community and consists of one building with multiple entrances and exits. The facility hours are Monday through Friday, 8 am to 3:00 pm. The program site is clean, safe, sanitary, and in good repair.
Entrance Interview Conducted:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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