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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850578
Report Date: 01/28/2025
Date Signed: 01/28/2025 11:49:14 AM

Document Has Been Signed on 01/28/2025 11:49 AM - 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:RIDGE AT WESTLAKE VILLAGE, THEFACILITY NUMBER:
195850578
ADMINISTRATOR/
DIRECTOR:		LARIOS, BRIANFACILITY TYPE:
740
ADDRESS:31200 CEDAR VALLEY DRIVETELEPHONE:
(805) 572-7705
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91362
CAPACITY: 162CENSUS: 0DATE:
01/28/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Brian LariosTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Angela Barutyan arrived for a pre-licensing visit at 10:00AM. The LPA met with Executive Director (ED) Brian Larios and Vice President of Program Development Rina Younan and explained the reason for the visit. This is a new facility. An dementia program was included in the plan of operation. Component III was conducted in conjunction with this pre-licensing visit. An approved fire clearance was granted on 01/07/2025 clearing for a total capacity of one hundred sixty-two (162) residents of which one hundred fifty-eight (158) are for nonambulatory residents and four (4) are for residents who are bedridden. All four (4) bedridden rooms are on the ground level only. Facility has requested a hospice waiver for fifteen (15) residents.

Facility Layout: The facility is one building with four (4) floors of which three (3) floors contain resident rooms and one (1) floor is the basement. The facility has one hundred thirty-one (131) units. The first floor contains the Memory Care Unit and has three (3) delayed egress doors. There are twenty-six (26) resident rooms in the Memory Care Unit and five (5) rooms are shared. Memory Care resident rooms have no appliances. Lighting in the rooms appeared adequate. The model rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. The assisted living rooms on the first, second, and third floors are equipped with a refrigerator, microwave, and sink. The assisted living rooms range from studio apartments to two (2) bedroom units. Washer and dryer units are available throughout the floors for resident use, and the commercial laundry area for staff use is in the basement.

Continued on LIC 809-C.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578
VISIT DATE: 01/28/2025
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The facility has the following amenities and common areas: office spaces, conference rooms, beauty salon, the bistro, lobby, rooftop access, memory care activity room, dining room, courtyard, and servery kitchen located on the first floor; one (1) theater located on the basement floor; the main kitchen and dining area, activity room, and fitness center located on the second floor; and lounge located on the third floor.

Common Spaces: Regarding the signal system, the system is activated in the resident bedrooms and restrooms. All systems go directly to a computer at the front desk and to hand-held devices and pagers. Designated staff carry a handheld device, which displays the location of the alarm that has been pulled. Staff also utilize walkie-talkies to communicate with staff accordingly. All residents will also be offered pendants. There are cameras observed in exterior perimeter and entrance. The community’s smoke detectors and carbon monoxide detectors are hard wired and were installed within the past 12 months. The fire extinguishers are located on every floor in each building and were observed to be fully charged and serviced. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the hallways. The emergency telephone numbers are posted in the entryway. Other required postings are posted on the first floor. LPA observed the Ombudsman Poster and DSS Complaint Poster throughout the community.

Kitchen: The community had a sufficient supply of perishable and nonperishable food at the time of the visit. Appliances in the kitchen were clean and appeared functional. Snacks and beverages are available for residents in the Bistro. Food is prepared in the main kitchen located on the second floor and is delivered to the separate dining rooms.

Bathrooms: Bathrooms were equipped with grab bars near the toilet and shower/tub, and slip-resistant surfaces were observed in the shower/tub. During today's visit, water temperature was tested on all floors and ranged between 107.1 to 113.5 degrees Fahrenheit, which is within the required range per regulation of 105 to 120 degrees Fahrenheit.



Report Continued on LIC-809C.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Angela Barutyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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: RIDGE AT WESTLAKE VILLAGE, THE
FACILITY NUMBER: 195850578
VISIT DATE: 01/28/2025
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Files: Resident records will be stored in a locked cabinet in the Business Director’s Office and in the medication room. Staff records will also be stored in a locked cabinet in the Business Director’s Office.

Medications: There is a medication room in the Memory Care unit on the first floor and an assisted living medication room on the second floor. An additional medication room was observed on the first floor in the assisted living section and will be used when census grows. There are complete first-aid kits and a surplus of medical supplies. There are additional first aid kits throughout the community. There are medication carts with double locking system for narcotics.

Grounds: Community has two (2) vehicles for transportation needs – a twenty-one (21) passenger bus and a six (6) passenger SUV. There are approximately sixty-four (64) parking spots available for residents and staff.

Infection Control: There is hand sanitizer available throughout the community. The community has an adequate supply of Personal Protection Equipment (PPE) and the community is able to obtain additional supplies as needed. If needed, the community has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19.

Physical plant is in compliance with Title 22 regulations at this time.

This report will be sent to the Centralized Application Bureau (CAB). The CAB Analyst will notify the applicant when the license has been approved. The applicant is aware that they are unable to operate and accept residents until they have been notified that the license has been approved by the CAB Analyst. Failure to comply could affect approval of the license.

Exit interview conducted and report issued via email.

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

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC809 (FAS) - (06/04)
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