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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197803342
Report Date: 07/25/2024
Date Signed: 07/25/2024 04:13:06 PM

Document Has Been Signed on 07/25/2024 04:13 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:UNLIMITED QUEST INC LONG BEACHFACILITY NUMBER:
197803342
ADMINISTRATOR/
DIRECTOR:		JOSEPHINE SANTOSFACILITY TYPE:
775
ADDRESS:3350 OLIVE AVETELEPHONE:
(562) 595-0730
CITY:SIGNAL HILLSTATE: CAZIP CODE:
90807
CAPACITY: 45CENSUS: 45DATE:
07/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Josephine SantosTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 07/25/24, Licensing Program Analysts (LPA), Wendy Gibbs and Deborah Lee, conducted an unannounced Annual visit to the facility listed above. LPA met with Administrator, Josephine Santos, and the purpose of today’s visit was explained. The facility is licensed to served 45 adult clients. The program hours are from 9am-2pm. During the visit, there were no clients present.
Physical Plant/Structure The facility is a single-story building located in an industrial neighborhood. At the entry of the facility is a reception area where you check in. Behind the reception area are staff offices and a conference room. Rooms for client include Computer Area, kitchen area, style shop, music room, relaxation room, art and craft room, game room, exercise room, and activity room. Each room is equipped and furnished to ensure the comfort and safety of all persons in the day program. The is facility maintained a comfortable temperature. Outside LPAs observed a shaded area with table and chairs. Additionally, LPAs observed a basketball hoop and other outside activities available for client use. LPAs did not observe any bodies of water on the premises. All restrooms were clean and operational. The water temperature, in the bathrooms and kitchen, measured between 105-degrees and 107-degrees Fahrenheit. All rooms and hallways were observed with ample lighting. All walkways inside and outside of the
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: UNLIMITED QUEST INC LONG BEACH
FACILITY NUMBER: 197803342
VISIT DATE: 07/25/2024
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facility were observed to be clean, clear, and free of debris, hazards, and obstructions.
Safety The facility is equipped with smoke and carbon monoxide detectors that are operable. The last inspection by the Signal Hill Fire Department was on 07/18/24. LPA observed multiple fully charged fire extinguishers last serviced on 06/29/24. Last emergency drill was conducted on 07/12/24. LPA observed and inspected First Aid Kit, and observed it had the required items and a manual. LPA reviewed the Emergency Disaster Plan (LIC610E) for the facility. All entrance/exit doors are marked and accessible. There is a working landline telephone at the facility. Medications, when brought in with clients, are secured in a locked box in a locked cabinet in the Administrator office.
Infection Control During visit, LPAs observed the facilities 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).
Files/Postings LPA reviewed three (3) staff files and found they contain the required documents, certification, and training. LPA reviewed five (5) client files and found they contained the required documents. LPA reviewed the current admission and intake documents, including the admission agreement, client handbook and personal rights. LPA observed all required posting including license, personal rights, nondiscrimination policy, “see something, say something,” and activity schedule. During file review, LPA observed all licensing fees are current. No deficiencies were cited. LPA conducted final interview with Administrator, Josephine Santos, and a copy of this report was provided.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
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