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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801817
Report Date: 12/19/2024
Date Signed: 12/19/2024 11:37:24 AM

Document Has Been Signed on 12/19/2024 11:37 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:CREATING OPPORTUNITIES & VOCATIONAL ENTERPRISESFACILITY NUMBER:
565801817
ADMINISTRATOR/
DIRECTOR:		JUDITH FLICKNERFACILITY TYPE:
775
ADDRESS:2041 CABOT PLACETELEPHONE:
(805) 988-6508
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY: 60CENSUS: 33DATE:
12/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:02 AM
MET WITH:Judith (Judi) FlicknerTIME VISIT/
INSPECTION COMPLETED:
11:37 AM
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Licensing Program Analyst (LPA) Kelly Dulek arrived at the Adult Day Program (ADP) unannounced to conduct a case management - other visit at 11:02AM. The LPA met with Administrator Judith (Judi) Flickner. Entrance interview conducted.

LPA Dulek visited and toured the day program today to determine if it is feasible to convert the day program into an emergency shelter when a natural disaster happens in the area. Further discussion will occur between the Regional Centers and the Department of Developmental Services. Licensee will be notified once a decision is made.

No citations issued. Exit interview conducted. A copy of today's report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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