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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601884
Report Date: 11/21/2024
Date Signed: 11/21/2024 04:26:04 PM

Document Has Been Signed on 11/21/2024 04:26 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:SOLID FOUNDATION WEIGHT MANAGEMENT INC.FACILITY NUMBER:
198601884
ADMINISTRATOR/
DIRECTOR:
CARLA Y. GALVANFACILITY TYPE:
775
ADDRESS:4167 W.WASHINGTON BLVD.TELEPHONE:
(323) 731-1358
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 105CENSUS: 32DATE:
11/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:CARLA GALVAN - ADMINISTRATORTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 11/21/24 Licensing Program Analysts (LPA) Troy Watson made an unannounced visit to Solid Foundation Weight Management and met with Administrator Carla Galvan and the purpose of today's visit was explained. The facility profile shows that the facility is licensed for a capacity of 105 ambulatory adults only, the facility currently has 32 ambulatory clients. Clients are from South Central Regional center. The staff to client ratio is one (1) staff to five (5) clients. The last inspection held by the Los Angeles fire department was on 12 /07/2023. The program provides transportation. As a part of today's inspection LPA reviewed 8 client records, 8 staff records and inspected the physical plant.

LPA and Administrator toured the inside and outside patio area, which includes a shaded area with patio benches upstairs. The facility consists of a, activity room, weight room, lunchroom, aerobic room, two upstairs classrooms, three offices, and a locker room, and an outside patio with benches, and four restrooms in the facility. There is a total of four bathrooms that are clean and operational and can easily accommodate non-ambulatory clients. There are nine (9) smoke detectors that were checked and were operable throughout the facility. There is one carbon monoxide detector that was checked and operational. There is one microwave and refrigerator avsailable for clients' use. Administrator stated that clients bring their own lunches and the facility also provides lunches and snacks to the program daily. Water temperature was measured between (117.3 – 119 F). Toxins were locked and stored in a cabinet. Facility does not administer medication to consumers. First Aid Kit was checked and was complete and in order.

Walkways throughout the day program and all exits were clear of hazards and debris.

During today’s visit no discrepancies were observed.

Exit interview was conducted with Administrator Carla Galvan and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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