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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198203348
Report Date: 10/07/2024
Date Signed: 10/07/2024 04:16:49 PM

Document Has Been Signed on 10/07/2024 04:16 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:SOCIAL VOCATIONAL SERVICES, INC.FACILITY NUMBER:
198203348
ADMINISTRATOR/
DIRECTOR:		DANIEL MORALESFACILITY TYPE:
775
ADDRESS:24710 NARBONNE AVENUETELEPHONE:
(310) 257-0464
CITY:LOMITASTATE: CAZIP CODE:
90717
CAPACITY: 18CENSUS: 17DATE:
10/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:52 AM
MET WITH:Brenda Peralta ,Program DirectorTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 10/07/2024 at 11:45am, LPA Zina Brown made an unannounced visit to the above facility. The purpose of today's visit was to conduct an annual inspection of the facility. On today's visit LPA met with facility Program Director Brenda Peralta. The facility profile shows that the facility is licensed for a capacity of 18. The Program Director stated that the facility has 18 clients currently enrolled in the program: (13) ambulatory and (3) non-ambulatory. The staff to client ratio is (1) one staff to (3) three clients. Program Director stated one 1 of the part clients have restricted health care conditions or utilize any protective devices. The last fire & disaster drill was conducted 08/21/2024 and a Disaster Plan was on file. The last inspection held by the fire department was on 03/15/2024. The program does not provide transportation.

As a part of today's inspection LPA reviewed (10) client records, (10) staff records, (5) Medication Administration Records and inspected the physical plant. The day program is located in one large building consisting of the following: parking lot (drop off/pick up area), lobby area with a receptionist area in front, 7 rooms (spa room, quiet room, art room, game room, equipment room, music/leisure room and computer room, kitchen, storage area, supply room, 2 offices (1 case manager office, 1 program manager office) 2 bathrooms (with 1 restroom with a locked storage room), staff/isolation area, outside shaded area and a garden area.

At 12:16pm, LPA conducted a tour with Program Manager Brenda Peralta of the physical plant and observed the following: walls and floors were in good condition, adequate lighting and fire extinguishers were properly charged. LPA observed plenty of storage space and chemicals were properly locked. The restrooms are clean and within Title 22 regulations. The kitchen is clean and a refrigerator is available for client use. The day program does not provide lunch nor snacks to clients. The first aid kit was available and fully stocked; medications were locked and inaccessible to clients. Walkways throughout the day program and all exits were clear of hazards and debris.

During today’s visit no deficiencies were observed. Exit interview conducted with Program Director.


SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2024
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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