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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601783
Report Date: 02/09/2023
Date Signed: 02/09/2023 04:35:10 PM

Document Has Been Signed on 02/09/2023 04:35 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
GREATER LA AC/SC, 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: 52DATE:
02/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Gabriella Brand TIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Christine Wong conducted an unannounced annual visit at the facility. LPA met with Gabriella Brand- Facility's Program Director and explained the reason for the visit.

Facility is licensed to served 70 adults in age range 18 and over of which 10 adults may be non-ambulatory Facility serves an adult day program capacity and currently is still serving clients virtually and in person due to COVID 19. Facility has a lobby, a conference room, exercise room, life skill room, volunteer room, outing room, media room, vocational room, changing room/relaxation room, program director office, administration office, staff break room/kitchen, two female bathrooms and two male bathrooms.

LPA conducted a tour of the facility with the director and observed the following:
Restrooms water temperature were tested between 105.8 and 111.3 degrees F which is within the 105 - 120 degrees F. Facility has a fire sprinkle system, and 5 fire extinguishers were observed throughout the facility. The men's and women's restrooms were clean, operational, and meet Title 22 regulations. Client usually bring their own lunch and snack and a water dispenser was available for client use. The cleaning supplies are stored in a locked cabinet in the conference room. The facility has two first aid kits and both located at the program director office and all have the required items. The facility walkways throughout the day program were clear of hazards and all exits were clear of debris.

Facility is currently following COVID 19 recommendations regarding COVID 19 signs throughout the facility, The disinfecting products are available in each room and facility is disinfected every 2 hours. The restrooms have sufficient soap, paper towels, and signs and PPE supplies are sufficient for more than 30 days.

No deficiencies were observed during the visit

Exit interview conducted and a copy of the report was provided to Program Director Gabriella Brand
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christine Wong
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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