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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801810
Report Date: 10/29/2024
Date Signed: 10/29/2024 02:54:47 PM

Document Has Been Signed on 10/29/2024 02:54 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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:VENTURA TOWNEHOUSEFACILITY NUMBER:
565801810
ADMINISTRATOR/
DIRECTOR:		EVAN GRANUCCIFACILITY TYPE:
740
ADDRESS:4900 TELEGRAPH ROADTELEPHONE:
(805) 642-3263
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 566TOTAL ENROLLED CHILDREN: 0CENSUS: 239DATE:
10/29/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Evan GranucciTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Tuesday Cabiness and Licensing Program Manager Troy Agard conducted an unannounced annual inspection. LPA and LPM met with Administrator Evan Granucci and informed him the reason of the visit. The facility consists of one (1) main building which houses independent and assisted living residents, with (80) private villas also housed independent residents. The Memory Care has thirty (30) apartments, and the current was (25).

The common areas such the front lobby, dining room lounge and dining room are on the first floor. The gym, salon, and game room are on the ground floor. Medication rooms on the first floor, as well administrative offices. The are laundry rooms on 2nd, 4th and 6th floors for residents use.

At 10:00 AM, the LPA began the physical plant tour, and LPM started resident and staff record review. A random selection of resident rooms were inspected in the Assisted Living Tower and resident rooms from the Garden Apartments. Resident rooms were observed to be furnished appropriately and restrooms had grab bars and non-skid mats as well as emergency alarms. Hot water temperature was measured in all rooms that were inspected; which temperatures ranged from 114.8 to 120.0 degree F. The physical plant tour in the memory care was also conducted, and the census at the time of the visit, was (25). The area is secured with a delayed egress system. The common areas of the memory care unit were observed and clean. The LPA observed residents preparing to eat for lunch. Food is cooked in the main kitchen and transported to the memory care unit in hot boxes. Medications are centrally stored in the medication room. Personal accommodation in residents bedrooms and bathrooms were observed for safety, privacy, and comfort.

The facility maintains a comfortable temperature at 75°F. The facility's smoke alarms are hard wired and interconnected and back up and tests are done in house on a quarterly basis. The facility is equipped with sprinkler system. Fire Drill was last conducted on September 2024.
Troy AgardTELEPHONE: (818) -596-4334
Tuesday CabinessTELEPHONE: (818) 299-4975
DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VENTURA TOWNEHOUSE
FACILITY NUMBER: 565801810
VISIT DATE: 10/29/2024
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The LPA met with the Food Service Director Bryan Gross, at 10:55 AM and toured the food service area. A sufficient supply of perishable and non-perishable food was observed and food was stored at the appropriate temperature.

LPM Troy Agard conducted record review with (10) residents and (10) staff files; all were inspected and reviewed to be complete.

No deficiencies were observed during today's inspection. Exit interview conducted. A copy of the report was provided.
SUPERVISOR'S NAME: Troy AgardTELEPHONE: (818) -596-4334
LICENSING EVALUATOR NAME: Tuesday CabinessTELEPHONE: (818) 299-4975
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC809 (FAS) - (06/04)
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