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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850091
Report Date: 01/10/2025
Date Signed: 01/10/2025 04:10:49 PM

Document Has Been Signed on 01/10/2025 04:10 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:PRESERVE AT WOODLAND HILLS, THEFACILITY NUMBER:
195850091
ADMINISTRATOR/
DIRECTOR:		SUSAN WEISBARTHFACILITY TYPE:
740
ADDRESS:6221 FALLBROOK AVENUETELEPHONE:
(747) 226-5834
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 60CENSUS: 56DATE:
01/10/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:10 PM
MET WITH:Susan Weisbarth TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Emily Peraldi made unannounced case management visit regarding a self-reported incident on the relocation of 20 residents from Bentley Suites- License # 198320302 to PRESERVE AT WOODLAND HILLS, THE - License #195850091 due to mandatory evacuation orders from Fire Advisory. The LPA met with Administrator Susan Weisbarth and Administrator from Bentley Suites, Belen Taico and explained the purpose of the visit.

During the visit, LPA Peraldi conducted a health and safety check and no concerns were observed. LPA reviewed and obtained resident and staff rosters for both facilities.

Per interview with the Administrators, 20 residents have been relocated to The Preserve at Woodland Hills. The facility has sufficient beds, hygiene supplies, beddings, linens, and everyone has a designated room. All rooms have an ensuite bathroom. The dining room is large enough to accommodate all residents with staggered dining schedules. The kitchen has sufficient two-day perishable and seven-day non-perishable food supplies. Medications and files of the Bentley Suites residents have been transferred and stored in a locked room. There is sufficient staffing available to provide care for resident of both facilities.

The Administrator Belen Taico confirmed all families and responsible parties from Bentley Suites have been notified of the relocation. Current Preserve at Woodland Hills residents will not be affected by this relocation.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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