198601192-3-11-2022-11-AS-NNWO-CCEMUT-20220311085538

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198601192
Report Date: 03/04/2022
Date Signed: 03/11/2022 08:56:08 AM

Document Has Been Signed on 03/11/2022 08:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME:	NEXT STEP II, THE		FACILITY NUMBER:	198601192
ADMINISTRATOR:	TOIYA SMITH		FACILITY TYPE:	735
ADDRESS:	1842 W 65TH STREET		TELEPHONE:	(323) 971-5002
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90047
CAPACITY: 4		CENSUS: 4	DATE:	03/04/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:12 PM
MET WITH:	TOIYA SMITH		TIME COMPLETED:	03:20 PM

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On 3/4/2022, Licensing Program Analysts (LPA) Ngozi Nwaokoro conducted an unannounced Required – 1 Year Inspection to the facility and met with Administrator, TOIYA SMITH. LPA explained the purpose of the visit and was allowed access to the facility.

LPA conducted facility tour and reviewed medical records with administrator Toiya Smith.

The home consists of 2 client bedrooms, 1 bathroom, living room, dining area and kitchen.

This facility is licensed to serve developmentally disabled adults ages 18 – 59 years: 4 ambulatories. A total of 4 clients are currently residing in this facility. A total of 2 staff and all clients were present during this inspection.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients.

All the client’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly. Bathroom water temperature was 115F. Adequate lighting and toiletries accessible to clients. This facility provides clients with hygiene products such as soap, toilet paper, toothbrushes, toothpaste, and combs.

LPA observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Stove and lights in kitchen where in good operating condition. Water in kitchen was 115.8F

Report Continue on 809-C.

SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Ngozi Nwaokoro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022

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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: NEXT STEP II, THE	FACILITY NUMBER: 198601192
	VISIT DATE: 03/04/2022

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LPA observed that medications were locked up and inaccessible to clients. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. First aid kit is fully stocked with manual. Four smoke detectors and carbon monoxide detector complied and operational. Fire extinguisher was fully charged and on kitchen wall.

Staff records were reviewed, and all records had current first aid certificates and had required criminal record clearances or criminal record exemptions.

All (4) client records where reviewed. Client medical assessment, TB, initial needs and services plan, and written admission agreement where available for each client.

During the visit, LPA Nwaokoro observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. Sanitizing stations in common areas and restrooms. LPA Nwaokoro observed staff was wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff and resident temperature logs were reviewed. The facility has a Mitigation Plan Report approved by CCLD on file.

No deficiencies were cited during this inspection.

An exit interview was conducted, and appeal rights were discussed with administrator Toiya Smith.

SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Ngozi Nwaokoro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022

LIC809 (FAS) - (06/04)

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