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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 567609944
Report Date: 02/14/2025
Date Signed: 02/14/2025 12:23:02 PM

Document Has Been Signed on 02/14/2025 12:23 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:LA VENTANA TREATMENT PROGRAMSFACILITY NUMBER:
567609944
ADMINISTRATOR/
DIRECTOR:		VOLNER, SHARONFACILITY TYPE:
772
ADDRESS:2479 LA GRANADA DRIVETELEPHONE:
(805) 371-1274
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91362
CAPACITY: 6CENSUS: 6DATE:
02/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:22 AM
MET WITH:Sharon VolnerTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analysts (LPA) Angela Barutyan conducted an unannounced required annual visit at the facility today. LPA arrived at 10:22AM and initially met with House Manager Jessica Herron. Clinical Director Bryce Colvard and Administrator Sharon Volner were contacted and arrived during the facility tour at 10:36AM and 10:50AM respectively. Entrance interview conducted.

A tour of the physical plant was conducted with the facility staff beginning at 10:32AM and the following was observed:

Fire extinguishers were observed to be fully charged and last serviced on 02/03/2025. Hardwired combination smoke and carbon monoxide detectors were tested at 11:06AM and were functional at the time of the visit.

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient nonperishable food to accommodate clients for (seven) 7 days and perishable food for two (2) days. Management indicated lunch and dinner are catered and the clients eat out on the weekends. Clients prepare their own breakfast foods. There were no visible immediate hazards observed.

BEDROOMS: There are four (4) Bedrooms, three (3) of which are designated for shared client use. The fourth bedroom is located on the lower level and was previously designated as an isolation room, as needed for infection control purposes and is currently being utilized as the nursing office. Two (2) shared bedrooms are located on the entry level and one (1) is located on the second story. All client bedrooms were observed to contain appropriate furniture, bedding and linens.

Report Continued on LIC 809-C

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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: LA VENTANA TREATMENT PROGRAMS
FACILITY NUMBER: 567609944
VISIT DATE: 02/14/2025
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BATHROOMS: There are four (4) full bathrooms and one (1) half bath. Three (3) full baths are designated for client use and one (1) is designated as the isolation room bathroom. The half bath is designated for staff and visitors. All bathrooms had functional fixtures and contained all required supplies. All bathrooms were supplied with appropriate paper and hygiene products. Water temperature was measured in client restrooms and measured within the required range.

LAUNDRY: Laundry Room is located on the entry level. Laundry and cleaning supplies were observed to be inside a locked hallway closet.

COMMON AREAS: These included two (2) Living Rooms, the Dining area, and an activity room. All common areas appeared to be clean and were appropriately furnished. Knives and other sharps are stored in a locked hall closet. There were no visible hazards.

TREATMENT/THERAPY & OFFICE AREAS: There is a group therapy room, an individual therapy room and an office designated for Staff use, which is used to store medications as well as first aid kit. The Offices are kept inaccessible to clients unless properly supervised.

GARAGE: The garage is used as an activity room/gym as well as to store emergency food and water and additional supplies.



SURROUNDING GROUNDS: There is a front and back yard. The backyard is fenced with lawn and garden areas. The back yard has a patio with furniture appropriate for outdoor use and shade. There were no imminent or immediate visible hazards.

MEDICATION REVIEW: Beginning at 10:40AM, LPA reviewed medications for two (2) clients. All medications observed were documented and stored in compliance with regulation at this time.

STAFF/CLIENT FILE REVIEW: Beginning at 11:08AM, LPA reviewed six (6) out of six (6) client files and 4 (four) staff files during today's visit. All staff and client records reviewed were in compliance with Title 22 regulation at the time of the visit.

INFECTION CONTROL/DISASTER PREPAREDNESS: During today’s visit, LPA reviewed the facility's infection control policy and disaster preparedness policies. All items reviewed were in compliance. The facility conducts emergency disaster drills quarterly, with the most recent drill documented on 12/15/2024.

No citations issued. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC809 (FAS) - (06/04)
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