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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610714
Report Date: 11/12/2025
Date Signed: 11/12/2025 04:23:23 PM

Document Has Been Signed on 11/12/2025 04:23 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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:VERED, THEFACILITY NUMBER:
197610714
ADMINISTRATOR/
DIRECTOR:		MOAN, CASSANDRAFACILITY TYPE:
740
ADDRESS:16161 VENTURA BLVD.TELEPHONE:
(818) 538-7550
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY: 200CENSUS: 0DATE:
11/12/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Cassandra Moan, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Tihesha Smith conducted an announced pre-licensing inspection at this facility with the Administrator. Cassandra Moan CA ID reviewed.

LPA conducted a guided facility tour of both the inside and outside with the administrator Cassandra Moan, Ivan Saa, Director of Health and Wellness, and Eduardo Sierra, SRM General Contractor. The facility was inspected for Fire Safety, Personal Accommodations and Services, Medication Procedures and Food Service. A fire clearance was approved on September 22, 2025, for thirty-five (35) ambulatory residents, one hundred thirty-three (133) non-ambulatory residents and thirty-two (32) bedridden residents.

The facility has a total capacity of two hundred (200), with one hundred forty-four (144) bedrooms and one hundred forty-four (144) bathrooms, in addition to common bathrooms located on floors one (1), two (2), and six (6). Resident bathrooms are equipped with properly installed grab bars. During the visit, hot water temperatures were measured between 105ºF and 117ºF, within the acceptable range. The facility also features model rooms that were observed to be adequately furnished.

The common areas, theater, activities rooms, sky lounge, gym, salon, and dining areas were appropriately furnished. The LPA Smith observed the theater room, activity room, lounges furnished and equipped appropriately. Designated locked medication rooms have ample space, and medication carts. There is a total of five (5) first aid kits in the facility with one (1) of the first aid kits located in the facility vehicle.

LPA inspected the kitchen and observed the stove, refrigerators, and freezer room to be clean and working. Pantry is stocked and facility has emergency food supply and water.
NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Tihesha Smith
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: VERED, THE
FACILITY NUMBER: 197610714
VISIT DATE: 11/12/2025
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Smoke detectors and Carbon Monoxide detectors are centralized and emergency services are dispatched automatically. There are fully charged fire extinguishers located throughout the building and observed to be last inspected 11/2025.

LPA Smith observed a commercial laundry room on first floor and one hundred seven (107) in room washer and dryers.

There is sufficiently shaded outdoor space on first, second, and sixth floor with ample seating and new furniture for outdoor use. There are no bodies of water on the premises.

At the time of this visit the physical plant is meeting Title 22 requirements.

Component III presentation completed at 3:45 pm and administrator acknowledged understanding.

No health and safety hazards were noted during this visit.

Copy of this report will be forwarded to the CAB specialist.

Exit interview was conducted and a copy of report was issued.

NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Tihesha Smith
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
LIC809 (FAS) - (06/04)
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