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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602919
Report Date: 09/08/2022
Date Signed: 09/08/2022 03:53:28 PM

Document Has Been Signed on 09/08/2022 03:53 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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:VOCATIONAL INNOVATIONSFACILITY NUMBER:
198602919
ADMINISTRATOR:FRANCO, AMEDFACILITY TYPE:
775
ADDRESS:2620 CALIFORNIA AVE STE C-FTELEPHONE:
(714) 576-2523
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY: 60CENSUS: 15DATE:
09/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Program Director / Celeste AbernathyTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA), Joe Katrdzhyan conducted an unannounced site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Program Director / Celeste Abernathy, who assisted with the visit. The facility is licensed as an Adult Day Program for adults between the ages of 18 - 59 years of age who are developmentally disabled, for a capacity of 60 consumers (40 Ambulatory and 20 Non-ambulatory clients only). There are 15 consumers attending the program today. Facility is located in a business complex. During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection.
The main entrance (front door) is used as the central entry point for all consumers, staff and visitors. A check-in station is set up by the entrance and routine symptom screening is initiated at entry.
LPA Conducted a facility walk through which consisted of a large building with 4 Activity Rooms, 2 Relaxation Rooms (of which one of the Relaxation rooms maybe used as an isolation room if needed), Conference Room, Computer Room and a Kitchen. All rooms have required furniture and equipment necessary to conduct all activities. COVID-19 signs are posted at the front door and throughout the facility. Documents are posted as mandated by Title 22 Regulations. Facility is equipped with a centralized sprinkler system. The fire extinguishers are fully charged and in compliance. Facility has four (4) bathrooms which were observed to be clean and operational. The hot water temperature was tested throughout the facility and measured within Title 22 Regulation guidelines. The first-aid kit is fully stocked w/First-Aid Manual, thermometer, scissors, tweezers, bandages and sterile first-aid dressing. Medications are centrally stored and locked inside the office. There are currently zero (0) clients taking medications at the day program. Knives, disinfectants and cleaning solutions are kept locked and inaccessible to clients.
Clients are expected to bring their lunch to the program daily. In the event that consumers come to the program without a lunch, Vocational Innovations will have petty cash available to provide them with a lunch. Snacks are provided to the consumers. Snacks are stored in the kitchen. A water fountain is available for the consumers.
Per Title 22 Regulations, there were no deficiencies observed during this visit.
An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2022
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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