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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610447
Report Date: 03/19/2025
Date Signed: 03/19/2025 02:28:39 PM

Document Has Been Signed on 03/19/2025 02:28 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:A HELPING HAND HOME CAREFACILITY NUMBER:
197610447
ADMINISTRATOR/
DIRECTOR:
LAKHANPAL,SHAWNFACILITY TYPE:
740
ADDRESS:42619 ALEXO DR.TELEPHONE:
(661) 513-4442
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 6CENSUS: 0DATE:
03/19/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Shawn Lakhanpal / AdministratorTIME VISIT/
INSPECTION COMPLETED:
03:37 PM
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On 03/19/2025 at 1:00 p.m., Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced annual visit and was greeted by the Administrator, Shawn Lakhanpal. LPA stated the purpose of the visit. The Administrator stated there are no residents living at the facility. LPA Rios toured the facility and did not observe residents in the facility.

LPA accompanied by Administrator began the physical plant tour of the facility inside and out at 1:04 p.m. LPA toured four (4) resident bedrooms of which two may be shared and observed all resident bedrooms were furnished with a bed, linens, lamp, night stand, and chair. LPA observed the common areas such as the dining room and living room clean and clear of clutter. The furniture in the facility was observed clean and in good repair. LPA observed a cabinet that is able to lock that will store residents' records and medications. LPA observed a fully charged fire extinguisher in kitchen area. The facility has a first aid kit with manual. LPA observed the administrator test smoke detectors that are interconnected and a carbon monoxide detector at approximately 1:05 p.m. LPA observed the detectors were operable. The facility has three (3) bathrooms accessible to residents and were observed to have toilet paper, hand soap, and paper towels. LPA measured the hot water temperature at 1:24 p.m. in one bathroom and it read 116.4 degrees Fahrenheit, within regulation. LPA's tour of the backyard and side yard, observed there is shaded area for clients with patio furniture. Passageways were clear of hazards.

LPA reviewed the administrator's certificate and 1st aid /CPR certification. Review revealed administrator certification is active and current.

There were no deficiencies observed at this time. Exit interview was conducted and a copy of the report was given to the Administrator.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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