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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601233
Report Date: 05/26/2022
Date Signed: 11/16/2022 09:52:01 AM

Document Has Been Signed on 11/16/2022 09:52 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:SOCIAL VOC.SERVICES-REDONDO BEACH INCLUSION CENTERFACILITY NUMBER:
198601233
ADMINISTRATOR:ANGELA P. RODRIGUEZFACILITY TYPE:
775
ADDRESS:2772 ARTESIA BLVDTELEPHONE:
(310) 793-9600
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 18CENSUS: DATE:
05/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Bianca Pina, AdministratorTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual inspection visit and infection
control inspection to the above facility. LPA was met by Bianca Pina, Administrator and the purpose of today’s visit was explained.

There are currently (7) Harbor and Westside Regional Centers consumers in placement. The Day Program does have 7 clients physically at the facility and 11 participate virtually through zoom meetings. The facility is a commercial 2 story structure located in a commercial district. The facility is in the 2nd Floor of the commercial building. It consists of the following: reception desk, small conference room, game room, quite room, library room, staff lounge, 2 restrooms, computer room, 3 offices (Administrator, Case manager, and AD,) 1 activity room with kitchenette, style room, travel office, Kitchen, storage closet (toxins,) zoom meeting room, gym and a garden (potted plants) in the back of the building.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated by the
DPH and CCLD. The (2) bathrooms are clean and operational. Smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are not kept in the facility. A comfortable temperature is maintained in the facility. Water temperature is between 105 - 120 degrees. A good supply of perishable food (used for tutorials for clients zoom meetings), linens are adequate, hazardous toxins and/or items are inaccessible to clients, 2 fire extinguisher are fully charged. Exit, walkways and/or passageways, are free of debris and/or hazards. The facility is in good repair.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE: DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2022
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 2
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: SOCIAL VOC.SERVICES-REDONDO BEACH INCLUSION CENTER
FACILITY NUMBER: 198601233
VISIT DATE: 05/26/2022
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During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry. Sanitation supplies are stored in 2 location, there are in a locked cabinet and storage room . LPA observed staff wearing masks, if needed they have a quite room they can convert it into an isolation room. The administrator advised LPA that sanitizer is administered to client. The facility has an approved Mitigation plan. Visitors are logged and checked. The client’s temperatures are checked and logged 2x a day. The facility has the required posting through out entire facility.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time.

An exit interview conducted with Bianca Pina, Administrator and copy of report provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022
LIC809 (FAS) - (06/04)
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