<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801810
Report Date: 11/13/2020
Date Signed: 11/16/2020 03:16:08 PM

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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:VENTURA TOWNEHOUSEFACILITY NUMBER:
565801810
ADMINISTRATOR:EVAN GRANUCCIFACILITY TYPE:
740
ADDRESS:4900 TELEGRAPH ROADTELEPHONE:
(805) 642-3263
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:566CENSUS: 220DATE:
11/13/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:36 PM
MET WITH:Evan GranucciTIME COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) JoAnn Rosales conducted a Case Management Legal/Non-Compliance investigation virtually with Administrator Evan Granucci due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures. A Stipulation and Waiver and Order was issued on 1/15/2020. Administrator Evan Granucci's Administrator's license was revoked and was stayed until the certificate expired on 2/18/2020, at which time the Administrator was granted a probationary Administrator's certificate which expires on 2/18/2022.

A physical plant tour was conducted to ensure there are no health and safety hazards. The facility is currently fire cleared for 566 non-ambulatory residents of which 6 may be bedridden. The facility was observed to be clean, safe, sanitary, and in good repair. LPA observed dining room closed. Administrator stated that they are delivering resident food to their rooms. LPA observed COVID signs and sanitizing stations throughout the facility. Hot water was tested at 111, 116, 115, 117, 114 and 113 degrees F in the bathrooms. The resident restrooms were observed to be clean and sanitary and in working condition. LPA observed hand washing signs in the common bathrooms. There is an adequate amount of perishable and non-perishable food. LPA observed fire extinguishers fully charged. Carbon monoxide detectors were tested and operable. Fire alarms are hard wired and serviced by MJM Communications. They have a 24 hr a day monitoring system. Administrator will provide proof of annual testing conducted last Friday 11/6/2020.Centrally stored medicines are kept in locked medication rooms. Grab bars were present in the bathrooms. Hygiene items are being provided. LPA observed working signal system. LPA observed appropriate lighting in the facility. LPA observed residents and staff wearing face masks. Outdoor area toured- passageways are free of obstruction.

No citations issued during today's visit.
A telephonic exit interview was conducted with the Administrator, and a hard copy was provided via email for signature.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Joann RosalesTELEPHONE: (626) 419-4072
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2020
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 1