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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801840
Report Date: 01/19/2024
Date Signed: 01/19/2024 04:49:00 PM

Document Has Been Signed on 01/19/2024 04:49 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:PATHPOINTFACILITY NUMBER:
565801840
ADMINISTRATOR:DENISE ALAMILLOFACILITY TYPE:
775
ADDRESS:501 MARIN ST STE 112TELEPHONE:
(805) 413-0790
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 45CENSUS: 18DATE:
01/19/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Denise AlamilloTIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) Teresa Camara conducted a required annual visit at 12:35 p.m. The LPA met with Administrative Denise Alamillo and explained the reason for the visit.

This facility is an adult day program in an office building. The LPA toured the physical plant areas to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The fire extinguishers were last serviced on 12/26/2023 and appeared fully charged. The carbon monoxide detector and smoke detectors are tested annually by building maintenance.

KITCHEN: The kitchen area is kept clean. There are no knives in the kitchen. Dish soap and other toxins are stored away from food and drinking water. Clients bring their own lunch and snacks. .

RESTROOMS: Restrooms (three) are clean and sanitary and in operating condition. Hot water was measured at 105.2*F.

COMMON SPACES: Furnishings were observed to be in good condition. The facility has two large activity spaces and a computer lab. The LPA observed the required postings throughout the facility as well as the monthly activity schedule.

RECORDS: LPA reviewed five client files and five staff files; all were complete. All staff are fingerprint cleared and associated to the facility. The facility disaster plan is also complete and the facility conducts evacuation drills monthly. Medications are centrally stored in a locked cabinet in the administrator's office. Clients bring their medications with them daily. Physician orders for medications are stored with the medications. Medications appear to be given as prescribed. The facility does not handle P&I money.

INTERVIEWS: LPA interviewed three clients and two staff; there were no concerns.

No deficiencies observed. Exit interview conducted and report issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2024
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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