<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191604283
Report Date: 04/22/2022
Date Signed: 04/22/2022 01:23:01 PM

Document Has Been Signed on 04/22/2022 01:23 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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:ADVOCACY FOR RESPECT AND CHOICE-LONG BEACHFACILITY NUMBER:
191604283
ADMINISTRATOR:JENNY LINFACILITY TYPE:
775
ADDRESS:4519 EAST STEARNS STREETTELEPHONE:
(562) 597-4396
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 60CENSUS: 11DATE:
04/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Arielle NealTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/22/22 Licensing Program Analyst Jade Jordan conducted an Un-announced Annual Inspection, with an emphasis on infection control, using Care Tools. The Day Program, Advocacy for Respect and Choice Long Beach is located on 4919 E Stearns St Long Beach Ca, located on Arc grounds, in which other program are run, but not licensed by CCLD.

LPA Met with Program Manager Arielle Neal, and the purpose of the visit was explained. Upon Arrival LPA observed Covid-19 postings , and Mask guidance on the Outside Entry doors. Staff and Consumers are screened for Covid-19 symptoms before entry. A symptom log is kept for Consumers.

During the Physical Plant tour Lpa observed the following licensed areas: Administrative offices, employee lounge with washer , activity room's: Gallery room, Library room, Studio room, Boutique Room, PE Room, Art Room and outdoor patio/Lunch area. The licensed wing provides three (3) men restroom and (3) women restroom, Restrooms are all clean and operational. Adequate lighting was observed throughout the facility. The program has ample storage space, including ppe's. LPA observed Surgical Masks, N95's, gloves and face shields, disinfectant, sanitizer, and soap . A technical advisory will be given for gowns. The lunch area was clean and a refrigerator was available for client use. Clients bring their lunches daily. However the program keeps back up snack/food available, in the event a client forgets their lunch. The facility walkways throughout the day program were clear of hazards and all exits were clear of debris. 6 Fire extinguishers were observed to be in compliance, serviced last on 03/08/2022.
LPA toured the outside grounds and observed a shaded area with tables and chairs. LPA reviewed client and staff files which are in compliance. Fire alarm (hardwired), Smoke detectors and carbon monoxide detectors were observed to working and in compliance. The last emergency disaster drill was conducted in March of 2022.

********Continued on 9099 C*******************
SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Jade Jordan
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2022
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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: ADVOCACY FOR RESPECT AND CHOICE-LONG BEACH
FACILITY NUMBER: 191604283
VISIT DATE: 04/22/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA observed one activity room that has a universal entrance, exit and bathroom that will be designated should isolation occur. Advised if Isolation is to go into effect all perimeter doors that encompass the activity room will need to be labelled for isolation.

Technical Advisary's were given for the following areas:
N95 Fit Testing for staff Pin 21-09ASC; 21-10ASC
Gowns
Covid Symptom Log for Staff
Loose Cords and crack located along the wall next to window in administrative office.


No Citations were issued during this visit.
An Exit interview conducted, and a copy of this report was provided.
SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Jade Jordan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2