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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601371
Report Date: 10/05/2021
Date Signed: 10/05/2021 03:18:39 PM

Document Has Been Signed on 10/05/2021 03:18 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
MONTEREY PARK, CA 91754
FACILITY NAME:COLE VOCATIONAL SERVICES TORRANCEFACILITY NUMBER:
198601371
ADMINISTRATOR:TOTTEN, KIMBERLYFACILITY TYPE:
775
ADDRESS:4236 ARTESIA BLVDTELEPHONE:
(310) 370-3700
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY: 30CENSUS: 0DATE:
10/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Sina Akai - Program DirectorTIME COMPLETED:
03:00 PM
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On 10/05/2021, Licensing Program Analyst (LPA) Don Senaha and LPA Gail Johnson conducted an unannounced case management visit. LPA was greeted by Sina Akai the Program Director and explained the purpose of today’s visit to observe the lighting in the facility. The day program is currently open virtually but has no clients’ attending in person. There were three other staff members present. The facility is licensed for thirty (30) Developmentally Disabled adults of which (30) can be non-ambulatory. The clients ages range from 18-59 and are majority are Harbor Regional Center clients with the exception of (2) clients are from Westside Regional Center.

During the Case Management visit LPA did a complete walk through of the facility. LPA observed 4 bathrooms located in one area, arts and craft room, isolation room/health room, game room, kitchen area, garden room, style room, sensory room, computer room and main activity room in the middle with a television. LPA measured the water temperature of the kitchen sink and two bathrooms to range between 110.6 F and 114.1 F meeting Title 22 regulations.

On 08/06/2021, LPA Senaha received an email from the Program Manager informing LPA that the facility had an external incident involving a truck driver delivering to our neighbor business and ran into the utility box outside of our building affecting the electricity in part of the building.

During today’s visit, LPA observed all electricity for the entire building is working and lighting is not an issue to reopen the day program.

An exit interview was conducted and a copy was left with the Program Director Sina Akai.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Don Senaha
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2021
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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