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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134601177
Report Date: 12/04/2023
Date Signed: 12/04/2023 04:23:01 PM

Document Has Been Signed on 12/04/2023 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
SAN DIEGO RO, 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: 39DATE:
12/04/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:TIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Director Reyna Zavala.

According to the facility’s license, there may be a maximum of eighty (80) developmentally disabled adults ages 18 and above; of which twenty five (25) may be non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA’ accompanied by Director Zavala, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. There are 6 (six) working bathrooms in the facility. Doors, sinks, and toilets were clean and in working order. LPA observed a storage with a surplus of incontinence supplies for daily as well as emergency use. LPA observed several areas that are available for privacy such as changing, rest, phone calls and de-escalation.

Hand hygiene supplies and Personal Protective Equipment were present. The facility does not prepare food on the premises and participants bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility has a seclusion room for participants. The facility’s ambient internal temperature was comfortable and compliant with Regulations. Hot water temperature at taps accessible to participant were also compliant.

There were no sharp objects or toxic chemicals/poisons accessible to participants. No pools or bodies of water were observed on the premises. All fire and carbon monoxide detectors are working. Emergency lighting, and facility telephone were all working. Fire extinguishers were operable. First aid kits were complete and readily accessible.

[CONTINUED ON LIC809-C]

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2023
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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: EASTER SEALS SOUTHERN CALIFORNIA EL CENTRO
FACILITY NUMBER: 134601177
VISIT DATE: 12/04/2023
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[CONTINUED FROM LIC809]

LPA interviewed multiple staff and participants. LPA’s interviews did not raise any licensing concerns. LPA also reviewed multiple staff and participant records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. LPA’s observed participants were being treated with dignity by staff, and there were sufficient staff on duty to meet participants’ needs.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated. An exit interview was conducted, this report was discussed with Director Zavala along with a copy of the Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given to Director Zavala.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC809 (FAS) - (06/04)
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