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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197601136
Report Date: 12/08/2022
Date Signed: 12/08/2022 12:06:04 PM

Document Has Been Signed on 12/08/2022 12:06 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:BCR "A PLACE TO GROW"FACILITY NUMBER:
197601136
ADMINISTRATOR:EDWARD PARKER, JR.FACILITY TYPE:
775
ADDRESS:230 E. AMHERST DR.TELEPHONE:
(818) 843-4907
CITY:BURBANKSTATE: CAZIP CODE:
91504
CAPACITY: 60CENSUS: 18DATE:
12/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Edward Parker Jr. TIME COMPLETED:
12:08 PM
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.Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required - 1 Year annual inspection visit with the focus of the infection control domain. LPA met with Administrator Edward Parker, JR and explained the purpose of the visit. The program is vendorized through the Frank D. Lanterman Regional Center. This day program is licensed for 60 ambulatory Developmentally Disabled Adults, ages 18 through 59. There are 18-20 clients currently attending the program.

LPA Alberto Lopez toured the facility with Administrator and observed the following:


The program is housed in a single-story structure along a semi-heavy traffic avenue, with its own parking lot and consists of a reception area, three offices, three storage rooms, five program breakout rooms, locker area for client personal storage, kitchen, 4 bathrooms (2 for staff and 2 for clients) and a shaded patio area.
There is one central entry point that has been designated to screen all clients, staff, and visitors. A check-in station is set up by the entrance and routine symptom screening is initiated at entry.

The following were observed/inspected:



· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept.
· Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote hand washing, cough/sneeze etiquette, and physical distancing.
· Facility does not have has one designated isolation room as covid positive clients would be sent or remain at home
· common areas, bathrooms, and outdoor physical plant was inspected.
· ZERO (0) centrally stored client medication records were reviewed as medication is not kept at day program.
· Staff responsible for direct care and supervision were observed wearing masks.
· Clients were observed wearing face mask.
· Minimum food supplies are kept at day program as meals are not provided

· A posted Emergency Disaster Plan was observed posted at facility.


.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: BCR "A PLACE TO GROW"
FACILITY NUMBER: 197601136
VISIT DATE: 12/08/2022
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· PPE's were observed.
· Staff and resident files were not reviewed during today's visit.
· No deficiencies cited per Title 22 Health and safety code,

Exit interview was conducted with Administrator Edward Parker, JR. A copy of the report was provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
LIC809 (FAS) - (06/04)
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