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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601606
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:03:20 PM

Document Has Been Signed on 03/07/2024 03:03 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:EASTER SEALS SOUTHERN CALIFORNIA GARDENAFACILITY NUMBER:
198601606
ADMINISTRATOR:SANKA, DIANE FFACILITY TYPE:
775
ADDRESS:1919 W REDONDO BEACH BLVDTELEPHONE:
(310) 542-2148
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY: 35CENSUS: DATE:
03/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Angel Christopher-Evans, Program DirectorTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Felisa Shirley made an unannounced Required - 1 Year inspection to the above Adult Day Program (ADP). LPA Shirley met with Ms. Angel Christopher, Program Director, and Ms. Ariel Sanchez, Program Supervisor. LPA Shirley informed staff the purpose of today's visit and was granted entry.

The Adult Day Program is located in a single story commercial building, which consist of a living room, kitchen, 2 restrooms, 4 activity rooms, 2 offices, outside has shade and the parking lot. All clients bring their own lunch or bring money to purchase lunch in the community. If clients forget their lunch the staff has emergency food available.


LPA Shirley and Angel walked throughout the facility and all common areas. All rooms and walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. All rooms and offices have working smoke detectors. There are 2 charged fire extinguishers, 1 located in the kitchen and 1 in the hallway outside of door entry. Both are in compliance. The water delivers at 105 F.

The last Fire/Emergency Drill was conducted on 2/8/2024.



The employee personnel files and client records are all in compliance and locked in a cabinet inaccessible to everyone. The day program currently has zero clients on medications. There are no personal/incidental monies handled by the day program staff. LPA observed a stocked first aid kit with the required manual.

Con'd on 809-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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 ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: EASTER SEALS SOUTHERN CALIFORNIA GARDENA
FACILITY NUMBER: 198601606
VISIT DATE: 03/07/2024
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 LPA observed the facility is clean, sanitary, and in good repair. Indoor and outdoor passageways, and other areas of potential hazard are free of obstructions. Facility temperature is between 68° degrees and 85° degrees. Carbon monoxide/Smoke detectors operate properly.

LPA did not observe any bodies of water.

There were no deficiencies observed.

An exit interview was conducted and a copy of this report was provided to Mrs. Angel Christopher, Program Director.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC809 (FAS) - (06/04)
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