198601371-12-12-2022-11-AS-LMOA-CM2VL8-20221212153131

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198601371
Report Date: 12/12/2022
Date Signed: 12/12/2022 03:31:39 PM

Document Has Been Signed on 12/12/2022 03:31 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME:	COLE VOCATIONAL SERVICES TORRANCE		FACILITY NUMBER:	198601371
ADMINISTRATOR:	TOTTEN, KIMBERLY		FACILITY TYPE:	775
ADDRESS:	4236 ARTESIA BLVD		TELEPHONE:	(310) 370-3700
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90504
CAPACITY: 30		CENSUS: 11	DATE:	12/12/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	SINA AKAI		TIME COMPLETED:	03:30 PM

NARRATIVE

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On 12/12/22, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA Montoya conducted a risk assessment with Day Program Manager who confirmed the facility is free of Covid-19 infection. LPA met with Day Program Manager Sina Akai and explained the purpose of today’s visit.

The day program is licensed to operate for thirty (30) non-ambulatory developmentally disabled clients ages 18 and over. The consumers are Harbor Regional Center clients with the exception of (2) clients are from Westside Regional Center.

The day program is a single-story structure located in a commercial neighborhood. It consists of the following: administrative office, front lounge, front office open area, 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, garden room and main activity room in the middle with a television.

LPA and Program Director toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected and had adequate lighting furnishings. Bathrooms were found to be within Title 22 regulations and were clean and operational. A comfortable temperature was maintained in the facility.

LPA observed the day program to be sanitary and appropriately supplied at the time of visit. Medications and sharps were stored and locked in a cabinet. Cleaning supplies and toxins were in the locked storage room and not accessible to clients. The kitchen was inspected and found all appliances in working condition. Fire extinguishers were charged and facility has a sprinkler pull down fire alarm system. Smoke detectors and three carbon monoxide devices are operable.

Evaluation Report Continues on LIC 809-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: COLE VOCATIONAL SERVICES TORRANCE	FACILITY NUMBER: 198601371
	VISIT DATE: 12/12/2022

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During this visit, LPA observed the day program's infection control practices. LPA observed screening protocols for visitors, staff, and consumers, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility had a sufficient supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted.

LPA tested the water temperature in two out of four client bathrooms and they measured 96.5 degree F and 97.0 degree F.

According to the California Code of Regulations (Title 22, Division 6, Chapter 3), LPA observed a deficiency; therefore, citation is issued.

An exit interview was conducted with Program Director Sina Akai and a copy of Evaluation Report and Appeal Rights were provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/12/2022 03:31 PM - It Cannot Be Edited

Created By: Lourdes Montoya On 12/12/2022 at 02:45 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: COLE VOCATIONAL SERVICES TORRANCE	FACILITY NUMBER: 198601371
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/12/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

82088(e)(1)

Fixtures, Furniture, Equipment, and Supplies

(1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA tested the water temperature in two out of four client bathrooms and they measured 96.5 degree F and 97.0 degree F. This poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 12/13/2022
	Plan of Correction
1 2 3 4	The Program Manager agreed to adjust the water temperature to attain a hot water temperature between 105-120 degree F. The Program Manager shall test and record the water temperature every two hours for 24 hours. POC shall be submitted to CCLD via email to lourdes.montoya@dss.ca.gov by the POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Stephanie Cifuentes

LICENSING EVALUATOR NAME:

Lourdes Montoya

LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022

LIC809 (FAS) - (06/04)

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