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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601476
Report Date: 08/15/2023
Date Signed: 08/15/2023 03:23:59 PM

Document Has Been Signed on 08/15/2023 03:23 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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:TRAINING FOR TOMORROWFACILITY NUMBER:
198601476
ADMINISTRATOR:IMELDA OCHOAFACILITY TYPE:
775
ADDRESS:6317 OTIS AVETELEPHONE:
(323) 773-3436
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 135CENSUS: 68DATE:
08/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Imelda OchoaTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit at the facility which included the following domains:
Infection Control, Physical Plant and Environmental Safety, Operational Requirements, Staffing, Personnel Records- Training, Client records- Incident Reports, Client rights- Information, Food Service, Health Related Services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention.
LPA Trueman met with Administrator Imelda Ochoa and explained the reason for the visit.

The facility is an Adult Day Program (ADP) licensed to serve 135 clients, of which 40 may be non-ambulatory, ages 18 and over. The program consists of 1 large single-story building. A tour of the single-story building included: Computer Room, Quiet Room, Socialization Area, LVN Office, Music room, Isolation Room, Art and Math Room, Zoomba Area, Photography Area, Art Room, Makeup and Hair Room and Changing Room.,

LPA toured the facility and the following was observed: There were 68 clients at the facility during the visit. The program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked. The restrooms were observed to be clean and have the required grab bars for non-ambulatory clients. The water temperature was tested in 2 restrooms and it measured 115 F. F. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept and it is fully stocked with all required items including a current manual. Food is not prepared at this program and clients are able to bring their own food.
Medication was administered per physician's directions. Medication was reviewed for 5 client's.
Interviews were conducted with 6 client's and 5 staff.
7 staff files and 7 client files were reviewed.

No deficiencies. exit interview conducted.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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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