565850215-3-20-2025-29-AS-KDUK-DEXVBV-20250320161810

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 565850215
Report Date: 03/20/2025
Date Signed: 03/20/2025 04:18:16 PM

Document Has Been Signed on 03/20/2025 04:18 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:	NEWPORT INSTITUTE -READ		FACILITY NUMBER:	565850215
ADMINISTRATOR/ DIRECTOR:	JIMENEZ, CHARLES		FACILITY TYPE:	772
ADDRESS:	4914 READ ROAD		TELEPHONE:	(805) 222-5110
CITY:	MOORPARK	STATE: CA	ZIP CODE:	93021
CAPACITY: 6		CENSUS: 5	DATE:	03/20/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:52 PM
MET WITH:	Charles Jimenez		TIME VISIT/ INSPECTION COMPLETED:	04:25 PM

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Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a one year required annual at 02:52PM. The last annual conducted at this facility was on 03/19/2024. Upon arrival, the LPA met the Administrator, Charles Jimenez and the reason for the visit was explained. Entrance interview conducted.

Beginning at 02:57PM, the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted:

TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: There is a Learning Lab, 2 (two) offices and a staff restroom upstairs. Downstairs contains a group/living room, and additional office/individual therapy spaces. Medications are stored in a locked ground floor Medication Room. The medication room has adequate locked storage, as well as a locked refrigerator. The 1st Aid Kit, which was observed to be complete, is stored in the Medication Room. The Offices are kept inaccessible to clients unless properly supervised.

COMMON AREAS: The LPA observed clients in common areas at the time of the inspection. All furniture, walls and flooring was observed to be in good condition. Activities are designed for both as individuals and groups. The facility maintained a comfortable temperature throughout the visit. There are several fire extinguishers throughout the facility; they all were fully charged and were last serviced 02/24/2025. The LPA observed required postings throughout the common space. At 03:33PM, the hardwired combination smoke and carbon monoxide detectors were tested and were operational at the time of the visit. Fire and earthquake drills are conducted monthly.

Report Continued on LIC 809-C

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: NEWPORT INSTITUTE -READ	FACILITY NUMBER: 565850215
	VISIT DATE: 03/20/2025

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BACKYARD: The backyard has a shaded area equipped with furniture for client use. There are two gates on each side of the house designated for emergency exits. The backyard is gated. Passageways were free and clear from obstruction. There are no bodies of water on the premises. The facility also has a barn, which contains a locked gym and meeting room. The barn contains ample emergency food and water.

BEDROOMS: There are three (3) double occupancy client bedrooms. All three (3) bedrooms were furnished with appropriate linens and required furniture. Adequate lighting in all bedrooms was observed.

RESTROOMS: The three (3) client restrooms were clean and sanitary and in operating condition with non-slip surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature was measured in common bathrooms and measured between 115.8 degrees Fahrenheit and 118 degrees Fahrenheit, which is within the required range.

LAUNDRY ROOM: There is a laundry room which is kept locked and inaccessible to clients. Clients do their own laundry with the assistance of staff. Cleaning supplies and disinfectants are stored in locked cabinets inaccessible to clients.

KITCHEN: The kitchen/food area was observed during the visit. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. Knives and sharps were observed locked and inaccessible at the time of the visit.

EMERGENCY DISASTER PLAN: LPA reviewed the facility's emergency disaster plan, which was complete and updated annually as required.

Due to time constraints, LPA will return at a later date to continue the inspection. 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: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC809 (FAS) - (06/04)

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