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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602919
Report Date: 10/19/2023
Date Signed: 10/19/2023 05:09:26 PM

Document Has Been Signed on 10/19/2023 05:09 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: 22DATE:
10/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Program Director Aaron VindelTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Program Director Aaron Vindel. The following 12 (CARE) tool domains were utilized during the inspection:

Infection Control:
  • Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

Operational Requirements:
  • A current Plan of Operation was reviewed. Infection Control Plan observed.
  • A fire clearance for 60 clients of which (20) may be non ambulatory; 0 may be bedridden.

Physical Plant/Environment Safety:
  • Facility is located in a business complex. It is a single story building consisting 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. Facility has four (4) bathrooms which were observed to be clean and operational.
  • The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to clients.
  • Water temperature readings measured within the required 105 - 120 degrees Fahrenheit.

Staffing:
  • A total of 20 staff members provide supervision to the clients.

Continued on LIC 809-C
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Jose Villalobos
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: VOCATIONAL INNOVATIONS
FACILITY NUMBER: 198602919
VISIT DATE: 10/19/2023
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Personnel Records/Staff Training:
  • Administrator on record is not current. To be submitted to Licensing
  • Staff have criminal background clearance and training.
  • Seven (7) staff files were reviewed. Proof of staff training, health clearance, and 1st Aid/CPR training was observed.

Resident Records/Incident Reports:
  • A total of six (6) client files were reviewed.
  • Required postings observed

Planned Activities:
  • Sufficient space to accommodate both indoor and outdoor activities was observed.
  • An activity calendar was reviewed

Food Service:
  • Sanitation practices and kitchen cleanliness was observed.
  • Kitchen has utensils for clients to use and to store their meals

Incident Medical and Dental:
  • Emergency transportation available
  • First Aid Kid observed

Disaster Preparedness:
  • Emergency and Disaster Plan LIC 610E is in place.

Residents with Special Health Needs: s.
  • Individual Service Plans and Appraisals are on file.
  • No residents have prohibited health conditions.

Per California Code of Regulations, Title 22, NO deficiencies were cited. Exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Jose Villalobos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC809 (FAS) - (06/04)
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