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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601336
Report Date: 07/21/2022
Date Signed: 08/01/2022 02:21:14 PM

Document Has Been Signed on 08/01/2022 02:21 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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754
FACILITY NAME:PEAK PERFORMANCE TRAINING CENTERS, INC.FACILITY NUMBER:
198601336
ADMINISTRATOR:DON TURNERFACILITY TYPE:
775
ADDRESS:1003 S. PRAIRIE AVETELEPHONE:
(310) 673-7782
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY: 100CENSUS: 32DATE:
07/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:37 PM
MET WITH:Clare Grey and Leahcim RobinsonTIME COMPLETED:
03:45 PM
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On 7/21/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced annual required visit with a primary focus on Infection Control measures. LPA met with Program Director Assistant Leachim Robinson to explain the purpose of today’s visit and was granted access to the facility grounds. LPA was later joined on visit by Program Director Claire Gray

The facility is a one-story structure located in a business area. Facility grounds consists of: A gated parking lot, lobby, Dining area, kitchen, activity room with lockers, men and women restrooms, Handicapped restroom with changing room, six staff offices, transportation office, client's locker room, staff break room, patio, and outside shaded area.

LPA and Program Director Clair Grey toured the physical plant. There were no bodies of water or obstructions on the premises. Bathrooms were found to be within Title 22 regulations and were clean and operational.

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. LPA observed fire extinguishers to be fully charged.

During the visit, LPA observed the facility infection control practices. LPA observed screening protocol for visitors, staff, and residents, sanitizing stations in common areas and restrooms, staff and client vaccination records, covid-19 tests and daily screening logs. LPA observed staff were wearing face coverings and that facility has a 30-day supply of Personal Protective Equipment (PPE).

No deficiencies were cited during this inspection visit.

An exit interview was conducted, and a hard copy of this report was provided to Program Director Clare Grey.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Stephanie Cifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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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