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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134601177
Report Date: 07/17/2023
Date Signed: 07/18/2023 08:13:08 AM

Document Has Been Signed on 07/18/2023 08:13 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
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:EASTER SEALS SOUTHERN CALIFORNIA EL CENTROFACILITY NUMBER:
134601177
ADMINISTRATOR:ZAVALA, REYNAFACILITY TYPE:
775
ADDRESS:453 MAIN STTELEPHONE:
(760) 482-2777
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: 80CENSUS: 54DATE:
07/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Program Director Reyna ZavalaTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Program Director Reyna Zavala.

According to the facility’s license, the facility has a maximum capacity of eighty (80) clients, of whom twenty-five (25) may be non-ambulatory. During today’s inspection, there were a total of fifty-four (54) clients in care. This facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by staff, toured the interior and exterior of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, toilets were in working order. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and client activities. The facility’s ambient internal temperature was 77 F. Hot water temperature at taps accessible to clients were all compliant: kitchen sink was 115 F, bathroom #1 was 105 F, bathroom #2 was 105 F and bathroom #3 was 105 F.

There were no sharp objects, toxic chemicals/poisons or open-faced heaters accessible to clients.

No pools or bodies of water were observed on the premises. Per the program director, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

[CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: EASTER SEALS SOUTHERN CALIFORNIA EL CENTRO
FACILITY NUMBER: 134601177
VISIT DATE: 07/17/2023
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[CONTINUED FROM LIC 809]

LPA interviewed multiple staff and clients and reviewed multiple staff and client records/files. LPA’s interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas.

No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with the Program Director Reyna Zavala, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2023
LIC809 (FAS) - (06/04)
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