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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601233
Report Date: 08/25/2023
Date Signed: 08/25/2023 01:29:31 PM

Document Has Been Signed on 08/25/2023 01:29 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, 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: 32DATE:
08/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Bianca PinaTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Elvira Gonzalez and Licensing Program Manager (LPM) Stephanie Cifuentes conducted an unannounced Annual inspection visit and infection control inspection to the above facility. LPA Elvira Gonzalez and LPM Stephanie Cifuentes was met by Bianca Pina, Administrator and the purpose of today’s visit was explained.

There are currently (32) Harbor and Westside Regional Centers consumers in placement. The facility is on the 2nd Floor of a 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,) computer room, gym, and a garden (potted plants) in the back of the building.

LPA and LPM and Administrator toured the entire facility inside and out. Documents are posted as mandated by 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 kept in locked storage. A comfortable temperature is maintained in the facility. Water temperature is between 105 - 120 degrees, hazardous toxins and/or items are inaccessible to clients, 2 fire extinguisher are fully charged and last serviced on 03/24/23. Exit, walkways and/or passageways, are free of debris and/or hazards. The facility is in good repair.

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SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2023
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 ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: SOCIAL VOC.SERVICES-REDONDO BEACH INCLUSION CENTER
FACILITY NUMBER: 198601233
VISIT DATE: 08/25/2023
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During the visit, LPA and LPM observed the facility infection control practices. LPA and LPM observed a sanitizing station at the facility entry. Sanitation supplies are stored in 2 locations, there are in a locked cabinet and storage room. If needed they have a quiet room, they can convert it into an isolation room. The facility has an approved Mitigation plan. The facility has the required postings throughout entire facility.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA and LPM 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: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023
LIC809 (FAS) - (06/04)
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