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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421703158
Report Date: 07/06/2022
Date Signed: 07/06/2022 04:46:13 PM

Document Has Been Signed on 07/06/2022 04:46 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:SOLVANG FRIENDSHIP HOUSEFACILITY NUMBER:
421703158
ADMINISTRATOR:TAMMY WESTWOODFACILITY TYPE:
740
ADDRESS:880 FRIENDSHIP LANETELEPHONE:
(805) 688-8748
CITY:SOLVANGSTATE: CAZIP CODE:
93463
CAPACITY: 40CENSUS: 37DATE:
07/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Tammy Westwood, Executive Executive / AdministratorTIME COMPLETED:
05:18 PM
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On 7/06/22 at 3:00 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced annual infection control visit to the facility above. LPA met with Tammy Westwood, Executive Director/Administrator and explained the purpose of the visit.


LPA toured the facility with the administrator and observed the following: The facility has infection control signage at the front door of each building and signage throughout each building on handwashing, cough etiquette and use of masks. Upon entry to the facility, LPA was screened. Staff are wearing masks. The facility has soap and paper towel dispensers in resident bathrooms and common bathrooms. Fire extinguishers are located in each building with some buildings having two or three extinguishers. The extinguishers are fully charged and some were inspected on 2/18/22 and the remainder were inspected on 2/21/22. Each building has an 8.5”x11” CCLD Complaint Poster. Administrator will ensure each building has a 20”x26” CCLD Complaint Poster, take photos, and send to LPA by 7/13/22.

At 4:14 pm, LPA conducted the Infection Control mitigation module with the administrator. No deficiencies cited.

Exit interview conducted and report emailed to the administrator..
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Darlene Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2022
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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