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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602008
Report Date: 08/24/2022
Date Signed: 11/03/2022 04:27:44 PM

Document Has Been Signed on 11/03/2022 04:27 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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:EASTER SEALS SOUTHERN CALIFORNIA REDONDO BEACHFACILITY NUMBER:
198602008
ADMINISTRATOR:DEVINE, KIMFACILITY TYPE:
775
ADDRESS:3007 VAIL AVETELEPHONE:
(310) 849-3332
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 30CENSUS: 8DATE:
08/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Angela Quaglia, Program DirectorTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual inspection visit and infection
control inspection to the above facility. LPA was met by Angela Quaglia, Program Director and the purpose of today’s visit was explained.

There are currently (8) resident in placement. The Day Program has 8 resident physically at the facility and No one participating virtually through zoom meetings. The facility is a commercial 1 story structure located in a commercial district. The facility is next to a public park. It consists of the following: Lobby with reception area, main activity room (other people utilize), 2 restrooms, 1 office, 2nd large activity room/TV room with kitchenette (Day Program utilize), Kitchen, storage closets, and shaded back yard with tables, chairs, and umbrellas.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated by the
DPH and CCLD. The (2) bathrooms are clean and operational. Smoke detectors and carbon monoxide detector are inspected by The City of Redondo Beach on a monthly basis. Program Director will provide documentation. No firearms are stored at facility and no bodies of water present. Medications are not kept in the facility. A comfortable temperature is maintained in the facility. Water temperature is between 107.6 degrees. Food is not provided for residents (residents provide their own lunch.) Hazardous toxins and/or items are inaccessible to clients, 2 fire extinguishers are fully charged. First aid kit complete with manual. Exit, walkways and/or passageways, are free of debris and/or hazards. The facility is in good repair.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: EASTER SEALS SOUTHERN CALIFORNIA REDONDO BEACH
FACILITY NUMBER: 198602008
VISIT DATE: 08/24/2022
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During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry. Sanitation supplies are stored in 2nd large activity room, there are in a locked cabinets. LPA observed staff wearing masks. The office can converted to isolation room, if needed. Program Director advised LPA that sanitizer is used by residents with help from staff .The facility has an approved Mitigation plan. Visitors are logged and checked. The residents temperatures are checked and logged 1x a day and as needed, if resident show any symptoms. The facility has the required posting throughout entire facility.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time.

Technical Advisories (TA) issued. Fit testing not completed for staff, No trash cans with lids.

An exit interview conducted with Angela Quaglia, Program Director and copy of report provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
LIC809 (FAS) - (06/04)
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