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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602929
Report Date: 04/14/2026
Date Signed: 04/14/2026 11:10:19 AM

Document Has Been Signed on 04/14/2026 11:10 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:WORK & SERVICE COALITIONFACILITY NUMBER:
198602929
ADMINISTRATOR/
DIRECTOR:		ARO, REYNALDOFACILITY TYPE:
775
ADDRESS:12626/12628 BELLFLOWER BLVDTELEPHONE:
(562) 401-0377
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 30CENSUS: 13DATE:
04/14/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:08 AM
MET WITH:Administrator Reynaldo AroTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was greeted by Program Director Daisy Miralles, and the purpose for the visit was explained. Administrator Reynaldo Aro arrived shortly after to assist with visit. The facility is licensed to serve 30 ambulatory adults. Currently there are 13 adults enrolled in the program that are serviced through South Central Los Angeles Regional Center.

The facility is a single-story building located in Downey. A tour of the facility included: Lobby/Entrance with 2 staff desks, Administrator’s Office, Program Director’s Office, activity room, locked storage closet, two (2) restrooms, a room for resting/quiet space, computer room and lunch/break/locker room with sink and refrigerator.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Facility maintains the required Infection Control Plan.

Physical Plant & Environment Safety: Smoke detectors and carbon monoxide detectors were observed, tested and are operable. There are three (3) fire extinguishers, last serviced 04/10/26. No pools or large bodies of water were observed. Cleaning solutions, toxins, poisons and hazardous items are secured/locked in a storage closet and inaccessible to clients. The facility was observed to be clean, safe and sanitary. The activity room has sufficient space for clients and there are plenty of activities to choose from.

continued on LIC 809C

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Blanca Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2026
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 3
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: WORK & SERVICE COALITION
FACILITY NUMBER: 198602929
VISIT DATE: 04/14/2026
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Operational Requirements: The facility has the appropriate fire clearance and conduct monthly emergency drills. Last drill conducted 03/09/26.

Staffing: The program maintains sufficient staffing during hours of operation, when clients are present.

Personnel Records Training: LPA reviewed five (5) staff files. Each file contained criminal record clearance, valid First Aid/CPR/AED certificates, health screening with TB clearance and sufficient training documented.

Client Records-Incident Reports: LPA reviewed five (5) client files. All files reviewed contained the following documents: Admission Agreements, Identification & Emergency Information, current Physician's Report with ambulatory status and TB clearance, Consent Forms, and Appraisal Needs & Services Plan.

Client Rights-Information: LPA observed the Client Rights and Reporting Posters, posted at entrance.

Food Service: Clients bring their lunches. There is a refrigerator with freezer available for storing.

Health Related Services: Clients in program do not have any incontinence care needs.

Incidental Medical & Dental: Staff do not assist with medication; clients do not take medications while at program.

Disaster Preparedness: There is a current Emergency Disaster Plan LIC 610D (12/21), last updated 01/16/26, with contact numbers and relocation sites.

Emergency Intervention: Clients at this facility have not needed the use of restraints or de-escalation techniques.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during today’s visit.

Exit interview was held and a copy of the report was provided to Administrator Reynaldo Aro.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Blanca Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC809 (FAS) - (06/04)
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