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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570094
Report Date: 08/21/2025
Date Signed: 08/21/2025 12:07:17 PM

Document Has Been Signed on 08/21/2025 12:07 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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:DAY TRAINING ACTIVITY CENTERFACILITY NUMBER:
191570094
ADMINISTRATOR/
DIRECTOR:		SOSA, EMILIOFACILITY TYPE:
775
ADDRESS:9555 WASHBURN RD.TELEPHONE:
(562) 803-3391
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 65CENSUS: 7DATE:
08/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Amy Scott, CFOTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Daniel Konishi conducted unannounced annual inspection. LPA met with the Chief Financial Officer (CFO) Amy Scott and explained the reason for the visit. The facility is licensed to serve 58 Ambulatory and 7 Non-Ambulatory developmentally disabled adults ages 18 and above.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene while assisting clients. Staff are cleaning and disinfecting throughout the day. The facility has an Infection Control Plan in place.

Physical Plant and Environmental Safety: The facility is located in an industrial area. There are four (4) activity rooms, one (1) computer room, two (2) storage rooms, five (5) offices, one (1) women's restroom, one (1) men's restroom, two (2) staff restrooms, a staff lounge area and reception area. The water temperature was tested and measured at 105.6 degrees F and 108.6 degrees F, which is within the required 105 - 120 degrees F. There are carbon monoxide detectors and fire alarms that are in compliance and operable. The facility is clean, safe, sanitary and in good repair. Disinfectants and cleaning solutions are centrally stored in locked cabinets and locked storage rooms. Sharps are locked and inaccessible to clients. Fire Extinguishers are fully charged and last inspected on 02/26/2025. The passageway, walkway and patio are free of obstruction. Outdoor patio has a shaded area for activity purposes.

Operational Requirements: Facility maintains an approved fire clearance. Staff are knowledgeable on reporting requirements of abuse.

Staffing: There's sufficient staffing in the facility. The regional center require a 3:1 ratio for clients to staff. The facility always has at least two staff on duty at all times.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2025
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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: DAY TRAINING ACTIVITY CENTER
FACILITY NUMBER: 191570094
VISIT DATE: 08/21/2025
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Personnel Records-Training: LPA reviewed three (3) staff files which includes: Personnel Record/Job Application, Health Screening, TB test, valid First Aid / CPR / AED training, Employee Rights, and Staff Training. Personnel files are kept locked in a secure location within the facility.

Client Records-Incident Reports: Client files are kept in a secure location. LPA review five (5) client files which includes: the Face Sheet, Admission Agreements, Identification & Emergency Information, Physician's Report, Ambulatory Status, TB Test Result, Personal Rights, and Assessment Service and Needs Plan.

Client Rights-Information: The facility has Personal Rights Poster posted. There are no clients in need of any postural supports.

Food Service: Clients will bring their own snacks and lunch to the day program and facility staff would assist them to heat up the food. Drinking water is available for client in the facility if needed. All toxins and cleaning supplies are secure, locked, and placed in the janitorial closet away from food supplies

Health-Related Services: Per CFO, the facility does not have any clients that take any medications. All facility staff have an updated first aid certificate and they have at least one staff able to perform CPR.

Incidental Medical Services: Currently there's no client with restricted health condition.

Disaster Preparedness: The facility has an updated Emergency Disaster Plan (LIC610D) and the last fire/disaster drill was conducted on 5/12/2025. The facility also has two temporary shelter locations.

Emergency Intervention: The Facility does not use any restraints or seclusion on clients. Clients at this facility do not require the use de-escalation techniques.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit Interview conducted and a copy of the report was provided to the Chief Financial Officer, Amy Scott.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC809 (FAS) - (06/04)
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