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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602919
Report Date: 07/19/2024
Date Signed: 07/19/2024 12:27:57 PM

Document Has Been Signed on 07/19/2024 12:27 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:VOCATIONAL INNOVATIONSFACILITY NUMBER:
198602919
ADMINISTRATOR/
DIRECTOR:
FRANCO, AMEDFACILITY TYPE:
775
ADDRESS:2620 CALIFORNIA AVE STE C-FTELEPHONE:
(626) 408-8600
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY: 60CENSUS: 32DATE:
07/19/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:46 AM
MET WITH:Aaron Vindel - Program DirectorTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Program Director Aaron Vindel and explained the purpose of the visit. The Adult Day Program is licensed to care for (60) Developmentally Disabled Adults, 40 ambulatory and 20 non ambulatory, age range 18 and over. All clients attending the program receive case management services provided by San Gabriel Pomona Regional Center.LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Staff are adhering to infection control requirements. Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff use disposable gloves to clean and disinfect the high touched surfaces in the common areas. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan.
Physical Plant/Environment Safety: Facility is located in a business complex. It is a single-story building consisting of a lobby, (3) Administrative offices, (2) Main rooms, (4) Activity Rooms, (2) Relaxation Rooms, Conference Room, Computer Room, Storage/Janitorial supplies room and a Kitchen. Facility has four (4) unisex bathrooms which were observed to be clean and operational. Relaxation rooms may be used as an isolation, rest area or first aid room if needed. LPA observed drinking and bottle refill station in the main room. Sufficient space to accommodate both indoor and outdoor activities was observed. 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. There are (3) fire extinguishers which were serviced on 06/06/2024. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility.
Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance is in place. Liability Insurance policy in the amount of $1,000,000.00 each occurrence and $3,000,000.00 in the total annual aggregate is valid and expires on 09/04/2024. Last Fire Drill was conducted on 07/08/2024 and Earthquake drill was conducted on 07/15/2024.
*****REPORT CONTINUED ON LIC809-C*****
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: VOCATIONAL INNOVATIONS
FACILITY NUMBER: 198602919
VISIT DATE: 07/19/2024
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Staffing: A total of twenty (29) staff members including the Administrator and the Program Director provide care and supervision to the clients. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and associated to the facility.

Personnel Records/Staff Training: LPA reviewed files for (4) staff. Proof of staff training, health clearance, vaccinations and 1st Aid/CPR training are current.

Client Records-Incident Reports: LPA reviewed files for (3) clients/participants. Client files are maintained at the facility. Physician's Report (including TB and Ambulatory Status), Consent For Medical Treatment, Individual Program Plan (IPP), Behavioral Reports, Special Incident Reports, Client Personal Property and Clients Personal Rights observed.

Client Rights-Information: Client personal rights are posted. Per Program Director, program provides internet services to all clients and have access to the facility phone. LPA interviewed (5) clients.

Food Service: Facility provides (2) snacks for the clients, morning and afternoon, lunch is not provided. There are (2) refrigerators in the kitchen to store clients' food/lunch bags. Sanitation practices and kitchen cleanliness was observed. Pesticides and cleaning supplies are kept away from the food preparation areas.

Health Related Services: There are no medications administered in the program. Medications are administered in each clients' homes. There are (5) incontinent clients and staff ensure that clients are kept clean, dry and free of odors. LPA observed a first aid box mounted on the wall in the Administrative office.

Incidental Medical Services: None of the clients at this home has a restricted health condition.

Disaster Preparedness: The facility has a complete Emergency Disaster and Mass Casualty Plan. Emergency transportation available.

Emergency Intervention: Staff have emergency intervention training.

No deficiencies cited. Exit interview and a copy of this report was provided to Aaron Vindel, Program Director.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
LIC809 (FAS) - (06/04)
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