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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601938
Report Date: 02/07/2023
Date Signed: 02/07/2023 02:35:10 PM

Document Has Been Signed on 02/07/2023 02:35 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
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:BRIGHTER OUTLOOK IIFACILITY NUMBER:
198601938
ADMINISTRATOR:WENDY DE LEONFACILITY TYPE:
775
ADDRESS:2112 E. GLADWICK STREETTELEPHONE:
(310) 631-6360
CITY:RANCHO DOMINGUEZSTATE: CAZIP CODE:
90220
CAPACITY: 90CENSUS: 45DATE:
02/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:49 PM
MET WITH:Wendy De LeonTIME COMPLETED:
03:15 PM
NARRATIVE
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On 02/07/2023 Licensing Program Analysts (LPAs) David España, Licensing Program Analyst and LPA Antonine Richard, and Licensing Program Manager (LPM) Ulysses Coronel, conducted an unannounced annual inspection with focus on infection control and met with Wendy De Leon, Executive Director. The reason for today's visit was explained.
The facility is a single-story structure located in a commercial building located in a business area. LPA viewed client file were stored in a storage area. LPA observed parking lot (drop off/pick up area), Kitchen, 1 large activity room, 1 isolation room. 1 nurse room, 4 client restrooms, 2 staff restroom, conference room and offices. Water temperature taken in the client bathroom had reading of 117.8 degrees Fahrenheit. Facility walls and floors were in good condition, adequate lighting, fire extinguishers were properly charged. Plenty of storage space. The restrooms were clean and within Title 22 regulations. The kitchen was clean and refrigerators are available for client use. The day program does not provide lunch however, snacks are available to clients. Carbon Monoxide detector was observed and operable. The first aid kit was available; medications were locked and inaccessible to clients. Walkways throughout the day program were clear of hazards and all exits were clear of debris.
Deficiencies were observed and cited during today’s visit: During the visit, LPAs and LPM observed a storage cabinet of unknown 4 gallons of paint accessible to clients in care.
During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations (Located in common areas and restrooms). LPA observed staff and residents were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).
LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance.
Exit interview was conducted and plans of correction were developed. A copy of the report and appeals rights given to the supervisor.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: David Espana
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2023
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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Document Has Been Signed on 02/07/2023 02:35 PM - It Cannot Be Edited


Created By: David Espana On 02/07/2023 at 02:09 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHTER OUTLOOK II
FACILITY NUMBER: 198601938

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82087(a)(3)
Buildings and Grounds
(a) The program site shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (3) Disinfectants, cleaning solutions, poisons, and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in during the visit, LPAs and LPM observed a storage cabinet of unknown 4 gallons of paint accessable to clients in care. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/10/2023
Plan of Correction
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During todays visit program director had the 4 gallons of paint locked up in cabinet and agreed to submit plan of correction by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ulysses Coronel
LICENSING EVALUATOR NAME:David Espana
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2023


LIC809 (FAS) - (06/04)
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