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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600746
Report Date: 02/22/2023
Date Signed: 02/22/2023 01:36:42 PM

Document Has Been Signed on 02/22/2023 01:36 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:SVS- TORRANCE INCLUSION CENTERFACILITY NUMBER:
198600746
ADMINISTRATOR:LESLY PADILLAFACILITY TYPE:
775
ADDRESS:3535 TORRANCE BLVD SUITE 6-10TELEPHONE:
(310) 944-3303
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 18CENSUS: 18DATE:
02/22/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Janet MadrigalTIME COMPLETED:
01:30 PM
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On 2/22/2023, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced annual required visit with a primary focus on Infection Control measures. LPA met with Program Director, Janet Madrigal and explained the purpose of today’s visit. The facility is licensed to serve developmentally disabled clients 18 years and above, approved for (6) non-ambulatory clients. At the time of visit there were 18 clients present.

The Adult Day Program is located in a small business plaza, and program hours are from 8:30 AM to 2:00 PM, and 3:00 pm-7:00 pm, Monday through Friday. Some clients bring their own lunch or cash to purchase food near the facility. Program Director stated that if clients forget their lunch the facility will provide food for lunch.

LPA toured the facility with Program Director Janet Madrigal. LPA inspected the Receptionist area, Program Director's office, quiet room/clients locker room, staff storage/locker, leisure room, fitness room, client's locker corner, arts and crafts room, kitchen, computer room, case manager's room, staff breakroom, and three (3) bathrooms. All areas are clean, safe, sanitary and in good repair. Each room is equipped and furnished to ensure the comfort and safety of all persons in the day program. All restrooms were clean and operational. The facility maintained a comfortable temperature. The water temperature, in the bathrooms and kitchen, measured between 113.6-degrees and 117.8-degrees Fahrenheit. All walkways had ample lighting. The day programs grounds are free of debris, hazards and obstructions.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023
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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: SVS- TORRANCE INCLUSION CENTER
FACILITY NUMBER: 198600746
VISIT DATE: 02/22/2023
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LPA observed 3 fire extinguishers, that were fully charged and last serviced on 10/11/22. The fire alarms were last serviced on 08/30/22. The smoke and carbon monoxide detectors were fully operational. The last emergency drill was on 02/16/23. LPA observed to fully stocked First Aid Kits and a manual. All emergency numbers and documents are posted. There is a working landline telephone at the facility. All sharps are secured in a locked box and inaccessible to clients. All toxins and cleaning supplies are stored in a secured closet and inaccessible to clients. There are no firearms or ammunition stored on the premises.

During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for clients, staff and visitors. There are sanitizing stations in common areas and restrooms. LPA observed staff and clients were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted.

No deficiencies are being cited during today's visit.
An exit interview was conducted, a copy of this report was given to Program Director Janet Madrigal.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023
LIC809 (FAS) - (06/04)
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