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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600097
Report Date: 12/04/2024
Date Signed: 12/04/2024 03:04:39 PM

Document Has Been Signed on 12/04/2024 03:04 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:ABILITYFIRST LONG BEACH CENTER ADULT DAY PROGRAMFACILITY NUMBER:
191600097
ADMINISTRATOR/
DIRECTOR:		SCHLOSSER, BARBARAFACILITY TYPE:
775
ADDRESS:3770 E WILLOW STTELEPHONE:
(562) 426-6161
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 40CENSUS: 38DATE:
12/04/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:16 AM
MET WITH:April StoverTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 12/04/24 Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual inspection visit, using the full cares tool. LPA was met by Director April Stover, and Adult Day Program (ADP) Supervisor Jordan Quenun, and the purpose of the visit was explained. The facility is licensed to served 40 adult clients. The program hours are from 8:30am-1:30pm.

Physical Plant/Structure

The Facility Building is located on a Main Street (E Willow St.), with front and side pedestrian entrances. Facility has three motor vehicle entrances. The interior physical structure consists of two (2), large, multi-use activity rooms, of which both rooms can be used for Adult Day Program clients. Facility also holds a license for an After-School Care Program (Ages 8-18+). ADP clients are predominately community based. There is one commercial sized teaching kitchen, green belt area for outdoor activities or gardening, indoor community-based pool which is locked and secure with limited access. Only lifeguard staff and director (who holds a life guard certification) have access to the pool area. The pool is in an incased area with sliding glass controlled entry access. The area is inaccessible to clients. Clients who request to use the pool are always supervised by lifeguard/staff who remains with them the duration of the time in the pool. There are a total of 8 certified life guards on staff. There is a men and women locker room which includes 5 additional toilets. The facility has a laundry skills room, exercise room, and an administrative wing. The facility has 6 bathrooms between the two activity areas, all meeting title 22 regulations with hand soap, paper towels and appropriate covered trash can.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ABILITYFIRST LONG BEACH CENTER ADULT DAY PROGRAM
FACILITY NUMBER: 191600097
VISIT DATE: 12/04/2024
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One of these restrooms is the designated isolation/sick room, stocked with an appropriate resting cot. The water temperature, in the facility measured between 105-degrees and 120-degrees Fahrenheit. All rooms and hallways were observed with ample lighting. All walkways inside and outside of the facility were observed to be clean, clear, and free of debris, hazards, and obstructions.

Safety

The facility is equipped with hard wired smoke detectors, and separate smoke alarms were observed throughout the facility, fully operational. They are directly connected to the fire department and was last serviced/inspected on 10/24/24. LPA observed a total of 8 fully charged Fire Extinguishers mounted throughout the facility, last inspected on 7/24/24. The last Fire drill was conducted on 1/18/24 and Earthquake drill on 10/17/24. The Aquatic Facility is inspected on a quarterly basis. All 8 lifeguards on staff have current life guard certification by American Red Cross training services. LPA observed and inspected First Aid Kit, and observed it had the required items. All entrance/exit doors are marked and accessible. There is a working landline telephone at the facility. There are 5 service vehicle that are currently up to date with tags. Engine service is done through Pep-Boys.

Infection Control

During visit, LPAs observed the facility's Infection Control procedures. At the entrance is a sign-in log and a hand sanitizing station and masks are available for people entering the facility. LPA observed Infection Control signs posted throughout the facility. LPA observed a 30-day supply of Personal Protective Equipment (PPE).

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ABILITYFIRST LONG BEACH CENTER ADULT DAY PROGRAM
FACILITY NUMBER: 191600097
VISIT DATE: 12/04/2024
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Files/Postings

LPA reviewed (5) staff files and found (5) out of (5) contain the required documents, certification, and training. LPA reviewed five (5) client files and found that (5) out of (5) contained the required documents. LPA observed all required posting including license, personal rights, “see something, say something,” and activity schedule, emergency disaster plan, facility sketch, activity calendar in addition to employee state and federal wage information.

Technical Advisory note issued at time of visit. LPA conducted exit interview with April Stover, Senior Director and a copy of this report was provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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