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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601468
Report Date: 11/14/2022
Date Signed: 01/06/2023 04:16:03 PM

Document Has Been Signed on 01/06/2023 04:16 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:MYCHAL'S LEARNING PLACEFACILITY NUMBER:
198601468
ADMINISTRATOR:EDWARD LYNCHFACILITY TYPE:
775
ADDRESS:4901 W. ROSECRANS AVETELEPHONE:
(310) 297-9333
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 45CENSUS: 27DATE:
11/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Olivia MiltonTIME COMPLETED:
03:45 PM
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On November 14, 2022, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced Annual inspection visit at the Mychal's Learning Place Adult Day Program. LPA Gibbs met with (Administrative Program Director) Olivia Milton and Prescila Tran and explained the purpose of the visit. Currently, there are a total of 37 consumers in the Adult Day program. There is a total of 27 consumers physically at facility and the remainder are virtual. The Adult day program hours are Monday-Friday, from 8:30am-2:00pm.

LPA toured the facility with Olivia and Prescila and observed the following: Entrance door leads to waiting area and receptionist/ information desk, 5 administrative offices, Back Room for clients to log in with review of daily activities, 2 conference rooms (1 conference room is also a resource center), multi-purpose activity area/ room, commercial kitchen, laundry room, art room, quiet room (mock bedroom), music room, women and men restroom. There is a large room "Big Purple Room", used for fitness/exercise and other activities (mainly used so consumers can spread apart).

The kitchen was fully stocked. The hot water temperature measured 119.5 degrees Fahrenheit. All appliances were in good working condition. All knives are locked in a drawer. All toxins and cleaning supply are locked in cabinet.

Each restroom has two stalls inside. The toilets and sinks are operable and are handicap accessible. The hot water temperature measured between 113.2-118.3 degrees Fahrenheit in the women’s restroom and between 114.9-119.5 degrees Fahrenheit in the men’s restroom.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2022
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: MYCHAL'S LEARNING PLACE
FACILITY NUMBER: 198601468
VISIT DATE: 11/14/2022
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The facility is equipped with operable hard-wire smoke and carbon monoxide detectors and sprinklers. There are 3 fire extinguishers in the facility, that are charged. Last emergency drill was in April 2022. The first aid kits are located in the kitchen and laundry room and are fully stocked with manuals.

All entrance/exit doors are accessible. All necessary signs posted at entrance and throughout the facility.

LPA reviewed (4) staff files and they were found to be completed and contain the required documents, and the LPA reviewed (6) consumer files and they were found to be complete with required documents.

The facility does not handle or administer medication to consumers, and the facility does not handle P & I funds.

No deficiencies were cited.

LPA conducted final interview with Olivia Milton and Edward Lynch .

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC809 (FAS) - (06/04)
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