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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601336
Report Date: 06/20/2024
Date Signed: 06/26/2024 06:39:31 AM

Document Has Been Signed on 06/26/2024 06:39 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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:PEAK PERFORMANCE TRAINING CENTERS, INC.FACILITY NUMBER:
198601336
ADMINISTRATOR/
DIRECTOR:		DON TURNERFACILITY TYPE:
775
ADDRESS:1003 S. PRAIRIE AVETELEPHONE:
(310) 673-7782
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY: 100CENSUS: 13DATE:
06/20/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Leah RobinsonTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the Day Program is clear of COVID-19 infection. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met with Administrative Assistant Leah Robinson and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report and infection control plan. The facility is licensed to serve (100) developmentally disabled adults, 80 ambulatory and 20 non-ambulatory aged 18 and above. Currently, there are 13 clients present during today's visit. The facility has a 1 to 3 ratio. The Adult Day Program annual fees are current. The Day Program is vendored by Westside Regional Center and South Central Los Angeles Regional Center.

The Adult Day Program is located in a single-story business buildings operating hours are 9:00 A.M. until 2:00 P.M., 5 days a week Monday through Friday for the consumers. All clients bring their own lunch or money to purchase lunch in the community. If clients forget their lunch the facility staff will provide emergency food for clients.

Due to time constraints, LPA Bunker will return at a later date to complete the visit.

There were no deficiencies cited.

Exit interview conducted.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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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