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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601606
Report Date: 03/27/2025
Date Signed: 03/27/2025 12:09:16 PM

Document Has Been Signed on 03/27/2025 12:09 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/
DIRECTOR:		SANKA, DIANE FFACILITY TYPE:
775
ADDRESS:1919 W REDONDO BEACH BLVDTELEPHONE:
(310) 542-2148
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY: 35CENSUS: 21DATE:
03/27/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:43 AM
MET WITH:Angel Christopher-EvansTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 03/27/25, at 9:30am, Community Care Licensing Division (CCLD) Staff conducted an unannounced visit to Easter Seals Southern California Gardena. The purpose of today’s visit was to conduct the required annual inspection, using the new Care Tool. CCLD staff was met by Angel Christopher-Evans, Program Director, and the purpose of today’s visit was explained. The facility is licensed to serve 20 non-ambulatory and 15 ambulatory adults. Currently, the facility has (21) ambulatory consumers. The clients are Westside Regional Center clients. None of the clients have Restricted Health Care Conditions and none utilizes postural supports or protective devices. The facilities’ annual fees are current.

The facility is a single-story commercial structure located in a business area. The Adult Day Program consists of the following: 3 activity rooms, staff offices, living room, kitchen, 3 restrooms, computer room, outdoor shaded area, and a parking lot.

CCLD staff conducted a records review of (5) consumer records, (5) staff records, and reviewed the facility disaster plan. All client & staff records were complete. The facility disaster plan was current and in compliance with Title 22 regulations at the time of the visit. Facility does not handle client medication.

CCLD staff and the director toured the physical plant:

Activity Rooms: Furniture, tables, and chairs are in good repair. Staff observed leisure activities including games, arts and crafts, music, books, and mat activities.

Kitchen: All knives/sharp objects were locked and inaccessible to consumers in care. Staff observed that the refrigerator, microwave, and counter tops were clean. The day program does not provide lunch; however, snacks are available to consumers. The water temperature measured 118.2F degrees in the kitchen.

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NAME OF LICENSING PROGRAM MANAGER: Janae Hammond
NAME OF LICENSING PROGRAM ANALYST: Perry Scott
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: 03/27/2025
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Consumer Bathrooms: Staff observed the restrooms and found them to be clean and operational. Hot water temperature measured 119.1F degrees. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly.

There are no bodies of water or firearm/ammunition on the premises. Adequate lighting is provided, and adequate storage for client’s personal belongings was observed. Walls and floors were in good repair. A comfortable temperature is maintained in the facility. The facility has current activity schedules posted, and each instructor develops and follows specific monthly lesson plans. Emergency disaster plan, and all other mandated inspection control posters were posted. All rooms are adequately equipped and furnished to conduct all daily activities.

Staff observed the facility to be clean and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. Facility does not store medications, first aid kit and manual were checked and fully stocked. The fire extinguishers were charged and last inspected on 07/17/2024. Smoke/ Carbon Monoxide detectors were operable. The last fire drill was conducted on 02/26/2025. The facility has current liability insurance, and it expires on 07/01/2025.

During the visit, staff observed the facility infection control practices. Staff observed the following: screening protocols for visitors, staff, and clients, sanitizing stations were in common areas and restrooms, telephone line was operable, and that the facility had the required postings, posted throughout the facility.

Staff advised the program director to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues.

During today’s visit there were no deficiencies observed.

An exit interview was held, and copy of the Facility Evaluation Report was provided to Angel Christopher-Evans, Program Director.

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NAME OF LICENSING PROGRAM MANAGER: Janae Hammond
NAME OF LICENSING PROGRAM ANALYST: Perry Scott
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC809 (FAS) - (06/04)
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