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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320102
Report Date: 01/24/2025
Date Signed: 01/24/2025 04:50:31 PM

Document Has Been Signed on 01/24/2025 04:50 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:ICAN CALIFORNIA ABILITIES NETWORK TORRANCEFACILITY NUMBER:
198320102
ADMINISTRATOR/
DIRECTOR:		SCOTT ELLIOTTFACILITY TYPE:
775
ADDRESS:2375 SEPULVEDA BLVDTELEPHONE:
(310) 374-8295
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 18CENSUS: 18DATE:
01/24/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:ADMINISTRATOR ELLIOTT SCOTTTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 01/24/2025 at 12:00 PM Community Care Licensing Division (CCLD) CCLD staff conducted an unannounced Annual required visit ICAN California Abilities Network Torrance facility. CCLD staff was met by Administrator Elliott Scott and the purpose of today’s visit was explained. The facility is located in a single-story commercial building and consists of the following rooms: a reception area; a large main space/lunchroom with tables and chairs, employees breakroom, clients breakroom, waiting lounge; 3 conference rooms, art room, kitchen, 3 activity rooms; janitor’s closet; locked storage room; 4 restrooms; case managers office; program managers office and a large open locker room with 96 lockers for both staff and clients.

The day program is licensed to operate for eighteen (18) developmentally disabled clients, ages 18 and over, of which four (4) may be non-ambulatory. There were eleven (11) clients, eight (8) direct support staff, and four (4) administrative staff. The Adult Day Program (ADP) sessions are every morning from 8:30 am-1:30 pm and afternoon from 2:00 pm – 6:00 pm.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ICAN CALIFORNIA ABILITIES NETWORK TORRANCE
FACILITY NUMBER: 198320102
VISIT DATE: 01/24/2025
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CCLD staff and Manager Scott toured the physical plant. There is no bodies of water or firearm/ammunition on the premises. All client rooms were checked and are in good condition and well maintained. CCLD staff noted adequate lighting was provided to staff and clients, storage for client personal belongings was observed. Walls and floors were in good repair. All equipment, computers, workstations are well maintained and there is adequately PPE stocked at the time of visit. CCLD staff observed Bathrooms were found to be within Title 22 regulations and were clean and operational. CCLD staff noted the following: Bathroom #1 hot water temperature properly measured at 107 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 109 degrees Fahrenheit, finally the Kitchen hot water temperature properly measured at 108 degrees Fahrenheit. CCLD staff observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were not accessible to clients. The facilities’ last fire drill was conducted by staff on 12/19/2024. CCLD staff noted (28) Smoke detectors all were hard wired, (28) Carbon Monoxide was found in the facility. The facility (3) Fire Extinguishers were checked and found to be fully charged and accessible. Six (6) clients files were reviewed and found to be complete. CCLD staff reviewed (6) client’s medications and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. The facility does not handle client’s money/cash resources. Commercial General Liability Policy #04MEA0434703 policy period from 05/01/2024 to 05/01/2025 underwritten by Brotherhood Mutual Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a visible area to staff and clients.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: ICAN CALIFORNIA ABILITIES NETWORK TORRANCE
FACILITY NUMBER: 198320102
VISIT DATE: 01/24/2025
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During the visit, CCLD staff observed the facility infection control practices. CCLD staff did observe screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). CCLD staff observed staff were not wearing face coverings, an isolation room is confirmed for the facility. CCLD staff observed the facility has a thirty-day supply of Personal Protective Equipment (PPE).

CCLD staff advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance.



During today’s visit there were no deficiencies under California code of regulation title 22, division 6, chapter 8. Annual Licensing Fee is CURRENT Exit interview and copy of the report was provided to Administrator Elliott Scott.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
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