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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601783
Report Date: 03/03/2022
Date Signed: 03/03/2022 11:25:50 AM

Document Has Been Signed on 03/03/2022 11:25 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:AIM HIGHER INCFACILITY NUMBER:
198601783
ADMINISTRATOR:MARINA DAVIDFACILITY TYPE:
775
ADDRESS:1751 ROWLAND AVENUETELEPHONE:
(626) 332-2357
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY: 70CENSUS: 36DATE:
03/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Gabriela Brand; Program Director TIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) David Sicairos conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPA met Program Director Gabriela Brand and explained the reason for the visit.

The following was observed/inspected:
  • LPA and Program Director toured the facility which included various different activity rooms, offices, and staff break room. There are no pools or large bodies of water. Passageways and exits are free of obstruction. The water temperature was tested in both the Men & Women bathrooms and measured between 105F - 108.4F which is within the required 105F - 120F degrees. Smoke detectors were observed throughout the facility and were tested and operable during the visit. Carbon monoxide detector was observed near a facility exit which was tested and operable. There are multiple fire extinguishers located throughout the facility which are fully charged. Kitchen appliances are clean and were operating at the time of the visit. Cleaning supplies and disinfectants are locked in the conference room located next to the reception area and supplies are inaccessible to clients. First Aid kit was fully stocked with current manual. Staff were observed wearing masks and screening visitors at the time of entry.
  • Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.]=[
  • Meals are not prepared at the facility, therefore food supply was not inspected during today's visit.
  • Medications are centrally stored in a cabinet located in the Program Director's office. Currently there are no clients attending Day Program in person who take medications, therefore medications were not reviewed during today's visit.
  • Staff and Client files were not reviewed during today's visit.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.
SUPERVISORS NAME: Stefanie Coronel
LICENSING EVALUATOR NAME: David Sicairos
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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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