198600086-7-24-2026-11-AS-ARID-DWARQW-20260724131413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198600086
Report Date: 07/24/2026
Date Signed: 07/24/2026 01:14:30 PM

Document Has Been Signed on 07/24/2026 01:14 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:	MARINE ATC		FACILITY NUMBER:	198600086
ADMINISTRATOR/ DIRECTOR:	ERNESTINE BARNES		FACILITY TYPE:	775
ADDRESS:	426 E. 99TH STREET		TELEPHONE:	(310) 330-8368
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY: 125		CENSUS: 53	DATE:	07/24/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Charlene Mathews		TIME VISIT/ INSPECTION COMPLETED:	01:30 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 July 24, 2026, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. LPA Richard met with Human Resource Director/Secretary Charlene Mathews and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved Mitigation Plan report and Infection Control Plan. The facility is licensed to serve (80) ambulatory and (45) non-ambulatory clients aged 18 through 59. Currently, there are 53 clients present during today's visit. The facility has a 1 to 3 ratio. The Day Program is vendored by Westside Regional Center. The annual fees are current. Director and LPA Richard toured the entire Adult Day Program which included the following: Front lobby, receptionist/front office, administrative offices, conference rooms, 15 classrooms, gym, 3 dressing/changing rooms, main kitchen, dining room, transportation coordinator’s office, classrooms 1-15, 2 transitional classrooms, 2 kitchens, 17 restrooms, supervisor station, laundry room, staff lounge, storage rooms, basement, courtyard, outdoor shaded area. See continued LIC809C on page #2

Eva M Alvarez
Antonine Richard
	DATE: 07/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

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: MARINE ATC	FACILITY NUMBER: 198600086
	VISIT DATE: 07/24/2026

NARRATIVE

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Continued LIC809 page #2

All areas are in compliance. Each room is adequately equipped and furnished. The day program has posted current activity schedules, and each instructor develops and follows specific monthly lesson plans. The Adult Day Program is located in a commercial business building located in a residential neighborhood, operating hours are 8:00 A.M. - 4:30 P.M., and clients are at the day program from 8:00 A.M. - 2:00 P.M.; 5 days a week Monday through Friday.

All consumers bring their own lunch, if clients forget their lunch the day program will provide food for clients, or if the clients are out in the community, the facility staff will pack a sack lunch for their consumers. Clients are trained in preparing simple meals. There are sanitizing stations in common areas and restrooms.

Documents are posted as mandated. The following Title 22 regulated areas were audited and found to be in compliance: Hot water temperature measured at 106.4f degrees Fahrenheit, smoke and carbon monoxide detectors were in compliance, fire extinguishers are fully charged, rest-rooms are clean and operational, toxic/sharp items locked inaccessible to clients. Hazardous items are inaccessible to clients and the first aid kit is fully stocked. A fire/emergency drill was conducted on July 21, 2026. The day program grounds are free of debris/hazards.

There were no deficiencies cited. A technical violation was issue.
An exit interview was conducted. A copy of this report was provided to the Operation Director Fusi Austin.

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Antonine Richard
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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