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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850240
Report Date: 04/25/2023
Date Signed: 04/25/2023 01:02:36 PM

Document Has Been Signed on 04/25/2023 01:02 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:VARIEL OF WOODLAND HILLS, THEFACILITY NUMBER:
195850240
ADMINISTRATOR:JOYCE AQUINOFACILITY TYPE:
740
ADDRESS:6233 VARIEL AVETELEPHONE:
(818) 651-6018
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 436CENSUS: 214DATE:
04/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Joyce AquinoTIME COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Angel Ascencio conducted an unannounced Case Management visit to the above facility with Los Angeles Department of Public Health (LADPH) representatives regarding COVID - 19 policies and procedures. LPA Ascencio met with Administrator Joyce Aquino at 10:30 a.m.

04-25-2023- 10:30 a.m. - Purpose of this meeting was to discuss Infection control areas of concern and to assist, review outbreak line list for March/April. LADPH Representative Chelsea De Lara, Public Health Nurse (PDH), Dr.Camellia Babaie, Physician Specialist and Variel Representatives Joyce Aquino, Jessica Saks participated in the meeting.

As part of a health and safety check, during today's visit, two (2) resident were observed to be in isolation, one (1) in Assisted Living and one (1) in Memory Care. There are only 2 resident that are COVID positive as of 04/25/2023. The residents are scheduled to come out of isolation on 04/27/2023. Currently, no staff have tested positive. Residents in Independent Living competed their isolation period. A review of the facilities policies and procedure as it relates to COVID - 19 was discussed during tour.

No citation were issued during today's visit.

Exit interview conducted and copy of the report was issued to Administrator Aquino.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angel Ascencio
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2023
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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