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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198203348
Report Date: 08/04/2022
Date Signed: 09/22/2022 08:31:33 AM

Document Has Been Signed on 09/22/2022 08:31 AM - 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:SOCIAL VOCATIONAL SERVICES, INC.FACILITY NUMBER:
198203348
ADMINISTRATOR:DANIEL MORALASFACILITY TYPE:
775
ADDRESS:24710 NARBONNE AVENUETELEPHONE:
(310) 257-0464
CITY:LOMITASTATE: CAZIP CODE:
90717
CAPACITY: 18CENSUS: 5DATE:
08/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:08 AM
MET WITH:Daniel Morales - Program DirectorTIME COMPLETED:
12:30 PM
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On 08/04/2022, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with Program Director Daniel Morales and explained the purpose of today’s visit. The day program is licensed to operate for eighteen (18) adults ages 18-59. Six (6) clients can be non-ambulatory. The consumers are Harbor Regional Center clients.

The day program is a single-story structure located in a residential area. The facility consists of a reception area, computer room, zoom/activity room, game room, locked supply room, arts and craft room, quiet room, two (2) administrative offices, kitchen with refrigerator/freezer, style room, two (2) shared bathrooms, storage room and lockers/storage area available for personal belongings.



LPA and Program Director toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected and had adequate lighting furnishings. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 117.4 F to 119.6 F in the bathrooms, art room and kitchen sink. A comfortable temperature was maintained in the facility.

LPA observed the day program to be sanitary and appropriately supplied at the time of visit. Medications are given to two (2) clients when present at the facility prior to lunch. Sharps were stored and locked in a cabinet near the storage room. Cleaning supplies and toxins were in the locked storage area and not accessible to clients. The kitchen was inspected and found all appliances in working condition. There were two (2) fire extinguishers fully charged located near the entrance and the kitchen. The facility conducts monthly drills including fire drills twice a year. LPA observed a fully stocked first aid kit in the Case Managers office.

Evaluation Report Continues on LIC 809-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Don Senaha
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2022
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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: SOCIAL VOCATIONAL SERVICES, INC.
FACILITY NUMBER: 198203348
VISIT DATE: 08/04/2022
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During this visit, LPA observed the day program's infection control practices. LPA observed screening protocols for visitors, staff, and consumers, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility had a sufficient supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted.

There was one technical advisory issued during this inspection visit. See LIC 9102 TA.

There were no deficiencies cited during this inspection visit.

An exit interview was conducted and a copy of this report was provided to Program Director Daniel Morales.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Don Senaha
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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