<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601789
Report Date: 02/28/2025
Date Signed: 02/28/2025 10:04:59 AM

Document Has Been Signed on 02/28/2025 10:04 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:LC VOCATIONAL TRAINING CENTERFACILITY NUMBER:
198601789
ADMINISTRATOR/
DIRECTOR:		THERESA ZAROURFACILITY TYPE:
775
ADDRESS:1420 CLAREMONT BLVD., STE 205CTELEPHONE:
(909) 626-2900
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 30CENSUS: 18DATE:
02/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Janin Balmacedo/S-1TIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Janin Balmaceda (Assistant Director) and discussed the purpose of today’s visit.

This program operates Monday through Friday 8AM to 2PM. This program is licensed for (25) ambulatory clients and (5) non-ambulatory clients. There are a total of (18) clients participating in this program. At the time of visit, (6) clients were present for in-person services. There are (17) clients that receive case management services provided by San Gabriel Pomona Regional Center and (1) client that receives case management services provided by Inland Regional Center.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:
Infection Control: Facility has an Infection Control Plan in place.

Physical Plant & Environment Safety: Carbon monoxide observed. Fire extinguishers observed (1) located in the front near the front restroom and (1) located in the back near the storage room (last serviced on 03/29/24). Hot water temperature in the front restroom measured at 117.3* and back restroom measured at 116.9*. Filtered drinking water is available for clients.

Operational Requirements: Staff are adhering to operational requirements.

Staffing: There is sufficient staffing at the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility.

***Refer to LIC 809C for the continuation of this report***
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: LC VOCATIONAL TRAINING CENTER
FACILITY NUMBER: 198601789
VISIT DATE: 02/28/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Personnel Records-Training: LPA reviewed staff files for Staff #1 (S-1) through Staff #5 (S-5). Staff have current First Aid/CPR certification. Staff have their Health Screening and Tuberculosis Screening on file. Staff training records were also reviewed which revealed that staff have adequate hours of training.

Client Rights-Information: Client rights are posted and were also observed in client files.

Client Records-Incident Reports: LPA reviewed Client files for Client #1 (C-1) through Client #5 (C-5). Client files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent For Medical Treatment, IPP, Program Rules, and Client Rights were observed.

Food Service: Clients bring their own lunch from home or go out and have lunch with this program twice per week (Thursdays and Fridays).

Health Related Services: Per Ms. Balmaceda- there are no clients that consume medication during programming hours.



Incidental Medical Services: Per Ms. Balmaceda -there are (0) clients on a restricted health plan.

Disaster Preparedness: The facility has an Emergency Disaster Plan in place.

Exit interview, appeals rights and a copy of this report was provided to Ms. Balmaceda.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2