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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601590
Report Date: 04/12/2022
Date Signed: 04/12/2022 01:01:57 PM

Document Has Been Signed on 04/12/2022 01:01 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:REACHING UNITY THROUGH HELP, LLCFACILITY NUMBER:
198601590
ADMINISTRATOR:ARTURO MIRANDAFACILITY TYPE:
735
ADDRESS:4010 PORTOLA AVENUETELEPHONE:
(626) 241-4160
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY: 4CENSUS: 3DATE:
04/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:34 AM
MET WITH:Arturo Miranda, AdministratorTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection with the focus of the Infection Control domain. LPA arrived unannounced and met with the Administrator, Arturo Miranda, who assisted with the inspection. The purpose of the visit was explained. The facility is licensed to serve 4 ambulatory clients only. There are currently 3 clients who were placed by the Eastern Los Angeles Regional Center.

LPA toured the facility with the Administrator and observed the following:
* The facility has 2 bedrooms, 1 1/2 bathrooms, living room with dining space, and kitchen. The laundry area is located outside in the back. The clients' rooms have the required furniture.
* LPA observed covid-19 related signage at the facility and in the restrooms for hand washing hygiene. LPA recommended to add additional signage such as sneeze/cough etiquette.
* The facility keeps a temperature log for clients and screens for any covid-19 symptoms.
* PPE supplies for at least 30 days are observed.
* Food supplies for 2 day perishable and a week of non-perishable are also observed.
* Knives, cleaning solutions, and disinfectants are stored and locked making them inaccessible to clients.
* Smoke and carbon monoxide combination detectors are located throughout the facility and operable. The fire extinguisher was last inspected on 1/10/22.
* The medications are centrally stored and locked in a kitchen cabinet. LPA reviewed all 3 clients' medications and did not observe any deficiencies.
* No files for staff or clients were reviewed today.

LPA provided a technical advisory for the N95 Respirator Fit Testing.

No deficiencies were observed during the visit today. An exit interview was conducted and a copy of this report along with appeal rights were given to the Administrator.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2022
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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