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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600746
Report Date: 02/10/2025
Date Signed: 02/10/2025 03:33:49 PM

Document Has Been Signed on 02/10/2025 03:33 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:SVS- TORRANCE INCLUSION CENTERFACILITY NUMBER:
198600746
ADMINISTRATOR/
DIRECTOR:		LESLY PADILLAFACILITY TYPE:
775
ADDRESS:3535 TORRANCE BLVD SUITE 6-10TELEPHONE:
(310) 944-3303
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 18CENSUS: 59DATE:
02/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Nalleli RobledoTIME VISIT/
INSPECTION COMPLETED:
01:13 PM
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On February 10, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit at the facility. The Program Director, Nalleli Robledo, welcomed the LPA. Dabuet explained that the visit was in response to an incident involving Client #1 (C1) that occurred on February 5, 2025.

On February 7, 2025, Administrator Rosalie Naval of Abad Group Home, Inc. reported an incident involving Client #1 (C1), who fell while out in the community with other clients and Social Vocational Services (SVS) staff. The fall resulted in (C1) being hospitalized at Torrance Memorial Hospital, where (C1) was treated for a hematoma on the forehead, along with lacerations, scratches, and bruising around the eye. (C1) remained in the hospital for further medical observation.

During the visit, the LPA interviewed three staff members (#1-#3) and clients (#2-#7). Staff member #4 was unavailable for an interview and was not present at the day program.

Service records for Client #1 (C1) were requested.
  • SVS Face Sheet
  • SVS Individual Needs and Service Plan (date 07/29/24)
  • Physician's Report LIC 602 (dated 11/01/21)
  • Physician's Medication Orders (dated 10/01/21)
  • Harbor Regional Center Individual Person Centered Plan (dated 07/29/24)
  • Client Development and Evaluation Report (dated 07/29/24)
  • SVS Service Notes (dated 01/09/24 through 12/03/24)
  • Client Roster (dated 02/10/25)
  • Personnel Report LIC 500 (dated 01/16/25)
  • Incident Reports (dated 02/06/25; 08/19/24 & 04/22/24)

An exit interview was conducted with Nalleli Robledo, and a copy of the report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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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