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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601371
Report Date: 11/21/2024
Date Signed: 11/21/2024 04:38:01 PM

Document Has Been Signed on 11/21/2024 04:38 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:COLE VOCATIONAL SERVICES TORRANCEFACILITY NUMBER:
198601371
ADMINISTRATOR/
DIRECTOR:		TOTTEN, KIMBERLYFACILITY TYPE:
775
ADDRESS:4236 ARTESIA BLVDTELEPHONE:
(310) 370-3700
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY: 30CENSUS: 22DATE:
11/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:17 PM
MET WITH:Sina Akai, Program ManagerTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On 11/21/2024 at 1:17pm, Licensing Program Analysts (LPA) ZIna Brown made an unannounced visit to the above facility. The purpose of today's visit was to conduct an annual inspection of the facility. On today's visit LPA met with facility Program Director Sina Akai. The facility profile shows that the facility is licensed for a capacity of (30). The Program Director stated that the facility has (30) clients currently enrolled in the program: (0) ambulatory and (30) non-ambulatory. The staff to client ratio is (1) one staff to (3) three clients. Program Director stated none of the clients have restricted health care conditions or utilize any protective devices. The last disaster drill was conducted August 2024 and a was on file. The last inspection held by the fire department was on 10/17/2024 with no violations. The program only provides transportation for one (1) client. The facility has a surety bond with Atlantic Specialty Insurance Company effective as of 12/01/2022 (Bond #800121691). The facility fee is $152.00 and due on 12/05/2024. LPA provided pin #641215 to the facility to make annual fee payment online.

As a part of today's inspection LPA reviewed (5) client records, (5) staff records, (0) Medication Administration Records and inspected the physical plant. This is a day program located in one large building consisting of the following: parking lot (drop off/pick up area), a lobby area, 6 classrooms(garden room, style room, sensory/gym room, game room, art room and computer room), a nurse office/rest room, a kitchen, a storage area, two (2) offices (for administrator and program manager), four (4) restrooms (2 restrooms with shower and 2 restroom with changing stations), and a laundry room.

Report continues on LIC 809-C page.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: COLE VOCATIONAL SERVICES TORRANCE
FACILITY NUMBER: 198601371
VISIT DATE: 11/21/2024
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At 2:20pm LPA conducted a tour of the physical plant and observed the following: walls and floors were in good condition, adequate lighting and fire extinguishers were properly charged. LPA observed plenty of storage space and chemicals were properly locked. The restrooms were clean and within Title 22 regulations. The kitchen was clean and a refrigerator was available for client use. The day program does not provide lunch however snacks were available to clients. The first aid kit (located lobby, nurse office and administrator office) was available and fully stocked. Walkways throughout the day program and all exits were clear of hazards and debris.

During today’s visit no deficiencies were observed.



An exit interview was conducted with Program Director Sina Akai and a copy of the this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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