<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320438
Report Date: 01/30/2025
Date Signed: 01/30/2025 05:19:03 PM

Document Has Been Signed on 01/30/2025 05:19 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:SVS WEST TORRANCE INCLUSION CENTERFACILITY NUMBER:
198320438
ADMINISTRATOR/
DIRECTOR:		ESTRADA, CHRISTINAFACILITY TYPE:
775
ADDRESS:2606 SEPULVEDA BLVD.TELEPHONE:
(310) 944-3303
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 21CENSUS: 14DATE:
01/30/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:Chiristian EstradaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 01/30/2025, the department conducted an unannounced annual visit to the facility listed above. The department met with Program Director, Christina Estrada, and the purpose of todays visit was explained. The facility is an Adult Day Program that is licensed to serve 21 ambulatory clients ages 18 and above.
Physical Plant/Structure The facility is a single-story structure in a commercial area. The facility consists of a reception area, conference room, four (4) offices, copy room, staff room, storage room, electrical room, locker room, Art Room, Leisure Room, kitchen, library, computer room, salon, and Quiet Room. The department inspected the inside and outside of the facility. The department observed all walkways and hallways to be clean, clear, and free of debris, hazards, and obstructions. There were no bodies of water observed on the premises.
Rooms The department inspected all rooms in the facility and observed them to be clean and in good repair. The department observed all rooms were appropriately furnished during time of visit. All activity rooms have tables and seating to accommodate Clients. The department observed an ample supply of materials for activities and crafts. The department observed an ample supply of games and computers available for Client use. The facility was maintained at a comfortable temperature. All rooms were observed with ample lighting.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SVS WEST TORRANCE INCLUSION CENTER
FACILITY NUMBER: 198320438
VISIT DATE: 01/30/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Kitchen The department observed the kitchen to be clean and sanitary. The department observed all appliances to be operable and in good repair. The department observed an ample supply of cookware, dishware, and cutleries. The department observed a 7-day supply of non-perishable foods and a two (2) day supply of perishable foods, properly packaged, labeled, and dated. The department observed knives and sharps secured in a locked cabinet. The water temperature measured 106.2-degrees Fahrenheit. The department observed multiple tables and chairs to accommodate clients.
Bathrooms The department inspected two (2) all gender single bathrooms, a women’s restroom with two (2) stalls, and a men’s room with a stall and urinal. All safety handrails were securely fastened. The water temperature measured 111.9-degrees, 115.5-degrees, 105.6-degrees, and 105.9-degrees Fahrenheit. The department observed an ample supply of hand soap and paper towels secured in a locked storage room.
Safety The facilities Fire Safety Inspection was conducted on 12/21/23. The department observed all smoke and carbon monoxide detectors to be operable and in good working repair. The department observed the three (3) fire extinguishers fully charged and last serviced on 11/20/23. All exits are clearly marked and open easily. The facility has a working landline telephone. The department inspected the facility First Aid kit and observed it had the required items and a manual. The department reviewed the facilities Infection Control Plan and Emergency and Disaster Plan. The department observed all cleaning supplies secured in the locked storage room.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: SVS WEST TORRANCE INCLUSION CENTER
FACILITY NUMBER: 198320438
VISIT DATE: 01/30/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Medication The department observed Centrally Stored Medications secured in a locked box in locked cabinet in a locked office. The department observed the medication in its original packaging. The department reviewed the PRN Authorization Letter in the file and the medication plan.
Files The department observed Client files in a secured cabinet in a secured office. The department reviewed the files for five (5) Clients and observed they had the required documents. The department reviewed the files for four (4) staff and observed they had the required documents, training, and certification. During file review, the department observed the licensing fees are current.

During today's visit the department did not observe or cite any deficiencies.

An exit interview was conducted with Program Director, Christina Estrada, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3