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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850322
Report Date: 01/21/2025
Date Signed: 01/21/2025 12:54:28 PM

Document Has Been Signed on 01/21/2025 12:54 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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:ARTHUR FAMILY HOMES IIFACILITY NUMBER:
565850322
ADMINISTRATOR/
DIRECTOR:		ARTHUR, AKOSUAFACILITY TYPE:
735
ADDRESS:3611 TERRACE DRIVETELEPHONE:
(805) 248-8099
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 4CENSUS: 4DATE:
01/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Akosua Arthur, Administrator TIME VISIT/
INSPECTION COMPLETED:
01:05 PM
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Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 10:30 a.m., the LPA met with Administrator, Akosua Arthur and explained the reason for the visit. The facility is vendored by Tri-Counties Regional Center as a level II home.

RECORD REVIEW: Between 9:36 a.m. and 11:06 a.m., the LPA conducted a file review for all four (4) clients and staff regularly scheduled and observed the following: Staff have current first aid. Client records were reviewed for, but not limited to current Individual Programming Plan (IPP), medical records, admissions agreement, and consent forms. All files were in order. The last earthquake and fire drill took place on 1/05/2025. Administrator’s Certificate is valid until 06/23/2026.

Starting at 11:30 a.m., the LPA conducted a review of medication and medication documentation with staff for three (3) clients and observed that medications were properly documented and assisted as prescribed. Medications are centrally stored and locked.

Starting at 11:42 a.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards.

KITCHEN: The LPA observed the kitchen and dining area. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:43 a.m., hot water temperature measured at 110.0-degree Fahrenheit. Knives are stored in a locked box located inside the pantry.

Continued on LIC 809-C.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ARTHUR FAMILY HOMES II
FACILITY NUMBER: 565850322
VISIT DATE: 01/21/2025
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BEDROOMS: There are four (4) client bedrooms and one (1) staff room. The LPA observed client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level.

RESTROOMS: Client restrooms are relatively clean and sanitary and in operating condition. At 11:46 a.m., hot water temperature measured at 105.0-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels.

OUTDOOR SPACE: The LPA observed the back patio which has a covered outdoor area for client use. There are no bodies of water on the premises. Passageways were free and clear from obstruction.

GARAGE: The garage is attached to the house. The garage contained a supply of emergency food and water. The LPA observed the laundry units in the hallway leading up to the garage.

COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 12/31/2024. Signs are posted throughout facility to promote handwashing. At 11:50 a.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Cleaning solutions, and chemical items were inaccessible and locked away inside a closet near the front entrance.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
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