198601429-1-29-2026-11-AS-LVIS-DQSRFM-20260129115922

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198601429
Report Date: 01/29/2026
Date Signed: 01/29/2026 12:00:30 PM

Document Has Been Signed on 01/29/2026 12:00 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:	CHOICES R US - WARD		FACILITY NUMBER:	198601429
ADMINISTRATOR/ DIRECTOR:	GILBERT CARDENAS		FACILITY TYPE:	735
ADDRESS:	2100 WARD AVE		TELEPHONE:	(562) 445-3009
CITY:	COMPTON	STATE: CA	ZIP CODE:	90221
CAPACITY: 3		CENSUS: 2	DATE:	01/29/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:14 AM
MET WITH:	Administrator Gilbert Cardenas		TIME VISIT/ INSPECTION COMPLETED:	11:58 AM

NARRATIVE

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On 01/29/26, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Gilbert Cardenas as the purpose of the visit was explained. The facility is licensed to serve 3 developmentally disabled adults ages 18-59 of which 1 may be non-ambulatory. Clients are linked to the South Central Los Angeles Regional Center. Facility fees are current, surety bond is active.

The facility is a single-story structure located in a residential neighborhood and consists of the following: (3) client bedrooms, 1 and a half bathroom, living room, kitchen, dining area, an attached garage with washer and dryer, storage area, emergency food and water supply. There is a fenced backyard a shaded patio area, and a shed used for additional storage. LPA observed the following during inspection of client rooms: mattresses and box springs in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA observed fully stocked bedding and towel closet. LPA observed bathrooms were found to be within Title 22 regulation. All bathroom fixtures are clean, in good repair, and working properly. LPA observed sufficient bedding, linens, and toiletries are accessible to clients. The water temperature properly measured between 105-120 F.. (2) fire extinguishes were observed to be charge, last fire drill conducted in April 2025. Carbon monoxide and smoke detectors observed to be operational, land line and internet service was observed. No weapons nor bodies of water on the premises.

LPA conducted a records review of 3 staff records, 2 client records, 2 medication administration records, and 2 P&I records. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Janae Hammond
NAME OF LICENSING PROGRAM ANALYST: Lizeth Villegas
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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Document Has Been Signed on 01/29/2026 12:00 PM - It Cannot Be Edited

Created By: Lizeth Villegas On 01/29/2026 at 10:57 AM

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
, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: CHOICES R US - WARD	FACILITY NUMBER: 198601429
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1565(c)

1565 A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of individuals served by the facility is not required during a drill. While a facility may provide an opportunity for individuals served by the facility to participate in a drill, it shall not require that participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and, if applicable, the names of staff participating in the drill.
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not conduct a drill since April 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/12/2026
	Plan of Correction
1 2 3 4	Administrator to conduct a fire drill and submit documented proof that the drill was conducted by POC due date, proof shall include the time, date, name of staff and clients that participated in drill. Administrator shall ensure that drills are conducted quarterly and keep a record of all drills conducted moving forward. Lizeth.villegas@dss.ca.gov

Type B

Section Cited

CCR

80075(a)

80075 Health Related Services The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services.
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as there is no documented record that client #1-2 (C1-C2) have been seen by an optometrist nor a psychiatrist which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/12/2026
	Plan of Correction
1 2 3 4	Administrator to schedule visit with optometrist and psychiatrist for client #1-2, and send LPA by POC due date a copy of visit summary in order to confirm visits were done. Administrator to ensure that medical needs are met yearly. Lizeth.villegas@dss.ca.gov

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

	Janae Hammond
NAME OF LICENSING PROGRAM MANAGER:

	Lizeth Villegas
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/29/2026 12:00 PM - It Cannot Be Edited

Created By: Lizeth Villegas On 01/29/2026 at 11:12 AM

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
, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: CHOICES R US - WARD	FACILITY NUMBER: 198601429
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

80068.2(b)(1)

80068.2 Needs and Services Plan If the client has an existing needs appraisal or individual program plan (IPP) completed by a placement agency, or a consultant for the placement agency, the Department may consider the plan to meet the requirements of this section provided that: The needs appraisal or IPP is not more than one year old.
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as client #2 did not have a current IPP in ctheir file for LPA to review which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/12/2026
	Plan of Correction
1 2 3 4	Administrator to request current IPP for client #2 from the regional center, and send LPA a copy by POC due date. Lizeth.villegas@dss.ca.gov

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.

	Janae Hammond
NAME OF LICENSING PROGRAM MANAGER:

	Lizeth Villegas
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

LIC809 (FAS) - (06/04)

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