<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602925
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:41:17 PM

Document Has Been Signed on 08/23/2024 01:41 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:COLE VOCATIONAL SERVICES PACIFICFACILITY NUMBER:
198602925
ADMINISTRATOR/
DIRECTOR:		DARCY FARIASFACILITY TYPE:
775
ADDRESS:2290 PACIFIC AVETELEPHONE:
(562) 349-0520
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 30CENSUS: 30DATE:
08/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:54 AM
MET WITH:Director Darcy FariasTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/23/24 Licensing Program Analysts (LPA) Lizeth Villegas made an unannounced visit to Cole Vocational Services Pacific and met with Director Darcy Farias as the purpose of today's visit was explained. The facility is licensed for a capacity of 30 non-ambulatory adults ages 18-59. Clients are linked to the Harbor Regional center, the staff to consumer ratio is (1) staff to (3) clients. Director was provided with annual fees and pin info. Surety bond was observed on file.

As a part of today's inspection LPA reviewed (4) client records, (3) staff records and inspected the physical plant. The property consists of (1) large building which includes gym, garden, computer, style, art, game, break room/kitchen, changing and laundry room, (3) bathrooms, storage area for consumers belongings, administrative offices, and a gated outside patio. The Facility walls and floors were in good condition, adequate lighting. Plenty of storage space, chemicals and sharps were properly locked. The restrooms were clean and within Title 22 regulations. Landline observed, smoke alarms are hardwired and operational, carbon monoxide detector observed at main entrance. Consumers bring their own meals and program provides snacks only, no medication is currently administered at day program. LPA observed sufficient furniture and lighting throughout the facility, walkways throughout the day program and all exits were clear of hazards and debris.

The last fire drill was conducted 07/22/24, earthquake drill conducted on 08/12/24 the last inspection held by the Long beach fire department was on 08/21/23, two (2) Fire extinguishers were properly charged, and the first aid kit was available and fully stocked.

Citation documented on 809D.

Exit interview conducted with Director Darcy Farias, appeal rights explained, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/23/2024 01:41 PM - It Cannot Be Edited


Created By: Lizeth Villegas On 08/23/2024 at 01:09 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: COLE VOCATIONAL SERVICES PACIFIC
FACILITY NUMBER: 198602925

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82075(f)
Health related services

Staff responsible for providing direct care and supervision shall receive and maintain current training in first aid and cardiopulmonary resuscitation from persons qualified by agencies including, but not limited to, the American Red Cross.


Deficient Practice Statement
1
2
3
4
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as Staff #1 (S1) has an expired CPR card which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/06/2024
Plan of Correction
1
2
3
4
Program director to enroll S2 into CPR training and provide documentation on CPR training completion by POC due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Janae Hammond
LICENSING EVALUATOR NAME:Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2