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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602059
Report Date: 03/24/2026
Date Signed: 03/24/2026 11:44:41 AM

Document Has Been Signed on 03/24/2026 11:44 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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ABILITYFIRST - LAWRENCE L. FRANK CENTERFACILITY NUMBER:
198602059
ADMINISTRATOR/
DIRECTOR:		PRIVITT, KELLYFACILITY TYPE:
775
ADDRESS:201 S KINNELOA AVETELEPHONE:
(626) 449-5661
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 48CENSUS: 30DATE:
03/24/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Edward Frutis, Program Supervisor
Michael Barkyoumb, Center Director		TIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Edward Fruti, Program Supervisor, and the reason for the visit was explained. Michael Barkyoumb, Center Director, arrived thereafter.

The Adult Day Program is licensed to serve 36 ambulatory and 12 non-ambulatory developmentally disabled consumers. The facility is in an industrial area of Pasadena and consists of the following: (4) offices, (1) career office, (1) conference room, (2) staff lounges, (1) client activity room, (1) shared client/child activity room, (1) isolation room, consumer cubby area, consumer closet for personal belongings, (4) client bathrooms with (1) containing a client changing area, a kitchen, a flex convert client/child room, laundry room, file room and (3) outdoor spaces.

LPA toured the facility and observed the following:

The facility was observed clean inside and out. Sufficient staff were observed providing care and supervision for consumers. Furniture throughout the facility is in good repair. Walkways, passageways, exits and ramps were observed to be clear of debris and obstruction. Kitchen was observed clean and the refrigerators and small appliances are also kept clean and operable. Refrigerators are available for the storage of staff and consumers’ food. Consumers bring their own lunch; however, cooking activities are conducted as scheduled on the activity calendar. Snacks are provided daily for consumers, and they are also able to prepare a light snack with help from staff. Sharps/knives are kept locked in a kitchen cabinet and are inaccessible to consumers. Bathrooms were observed clean. Consumer changing area in bathroom #4 was observed clean and sanitary. Sufficient incontinent care supplies are kept on hand for use. Water temperature was tested in each bathroom sink and tested between 105.1 – 106.3 degrees F., which is within the required compliance range of 105-120 degrees F.

****Continues on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ABILITYFIRST - LAWRENCE L. FRANK CENTER
FACILITY NUMBER: 198602059
VISIT DATE: 03/24/2026
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Consumer medication is kept centrally stored and locked in the Program Director’s office. Physician orders, medication management consent forms and logs are kept on file for consumers who are assisted with medication administration. Smoke alarms connected to the local fire department were last tested on 3/24/2026. Fire/safety drills are conducted quarterly, and the last drill was conducted on 1/9/2026 with staff and consumer participation. Fire extinguishers were observed throughout the facility and are charged and operable. The facility’s Emergency and Disaster Plan was reviewed and found to be up to date. LPA reviewed (6) consumer and (6) staff files. Files reviewed contained all documents to meet compliance. The outdoor spaces have shaded areas and patio furniture is sufficient and is in good repair.

No deficiencies noted during today’s visit. Exit interview was conducted with Michael Barkyoumb, Center Director, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC809 (FAS) - (06/04)
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