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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609568
Report Date: 07/25/2023
Date Signed: 07/28/2023 10:58:52 AM

Document Has Been Signed on 07/28/2023 10:58 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:BEWISE HOMEFACILITY NUMBER:
197609568
ADMINISTRATOR:OKONKWO, CHINWEIKEFACILITY TYPE:
740
ADDRESS:22214 VANOWEN STREETTELEPHONE:
(818) 300-4994
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91303
CAPACITY: 6CENSUS: 3DATE:
07/25/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Chinweike Okonkwo, Administrator TIME COMPLETED:
11:00 AM
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The purpose of this meeting was to discuss recent issues of non-compliance. Present at today’s meeting were: Administrator, Chinweike Okonkwo, Licensing Program Manager (LPM) Nichelle Gillyard and Licensing Program Analyst (LPA) Angela Panushkina.

The informal conference process was explained to the Licensee and Administrator. Additionally, they were also informed that this Informal Conference is part of the administrative action process and that further non-compliance and/or citations would result in requiring the attendance at a Non-Compliance Conference meeting.

Bewise Home was licensed on 02/29/2019. From the date the facility was licensed to present (07/28/203), the Regional Office (RO) received four (4)complaints. Two (2) out of four (4) complaints have been found Substantiated.

During today’s conference, the following matters were discussed:

· Incidental Medical and Dental Care.:
a. Section: 87465(a)(1)
b. Date: 07/05/23
· Reporting Requirements:
a. Section: 87211(a)(D)
b. Date: 07/05/23
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BEWISE HOME
FACILITY NUMBER: 197609568
VISIT DATE: 07/25/2023
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Although, prior history of the citations and plan of corrections were discussed/received, the Licensee was asked what steps will be taken to prevent this from happening again. Licensee/Administrator provided detailed information to the Department.

LPM concluded today's Informal Meeting by requesting a copy of his Administrator Certificate.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023
LIC809 (FAS) - (06/04)
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