<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601527
Report Date: 10/21/2022
Date Signed: 11/15/2022 09:23:33 AM

Document Has Been Signed on 11/15/2022 09:23 AM - 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:MONETA LEARNING CENTERFACILITY NUMBER:
198601527
ADMINISTRATOR:ANITA MATHARUFACILITY TYPE:
775
ADDRESS:21601 MONETA AVENUETELEPHONE:
(310) 782-9701
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY: 32CENSUS: 9DATE:
10/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Program Director Ptricia BallTIME COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/21/22, Licensing Program Analyst (LPA) Ernand Dabuet and Wendy Gubbs conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection tool. LPA’s met with Program Director Pat Ball and explained the purpose of today’s visit. The day program is licensed to operate for thirty-two (32) non-ambulatory ages 18 and over. The consumers are Harbor Regional Center clients. Currently, the program is conducting services though visual communications with some consumers and in person with some conumer.

The day program is a single-story structure located in a residential neighborhood. It consists of the following: administrative office, consultation area, conference room, physical activity room, arts and crafts room, controlled multi-sensory stimulation room(SPA), computer lab area, breakroom/kitchen area, laundry area, nurse's room, and two (2) designated restrooms.

LPA’s and 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. The water temperature measured 111.8 F. A comfortable temperature of 73 degrees was maintained.

LPA's observed the day program to be sanitary and appropriately supplied at the time of visit. Storage room for cleaning supplies, toxins, and sharps objects were stored and not accessible to consumers. The kitchen was inspected and found all appliances were in working condition. Fire extinguishers were charged, smoke detectors and carbon monoxide were operable. The first Aid kit was adequately supplied with the manual. A landline telephone was in working condition.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: MONETA LEARNING CENTER
FACILITY NUMBER: 198601527
VISIT DATE: 10/21/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During this visit, LPA’s 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 program had a sufficient supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. Social distancing floor makings were observed throughout. The program has a dedicated isolation/quarantine room. A review of staff and visitors' temperature logs was inspected. LPA's reviewed staff and cleint records. LPA's reviewed vaccination status of staff and clients. All staff had CPR and First Aid. The program continues to conduct surveillance testing with staff regularly. The program has an approved Mitigation Plan with CCLD.

No deficiencies were cited during this inspection visit.

An exit interview was conducted with Pat Ball and a copy of this report was provided.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2