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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602939
Report Date: 09/05/2024
Date Signed: 09/05/2024 04:27:55 PM

Document Has Been Signed on 09/05/2024 04:27 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:MALIYAH'S PLACEFACILITY NUMBER:
198602939
ADMINISTRATOR/
DIRECTOR:		BAILEY, FELISIHIAFACILITY TYPE:
775
ADDRESS:9130 S. WESTERN AVENUETELEPHONE:
(323) 754-1000
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY: 50CENSUS: 20DATE:
09/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:33 PM
MET WITH:Felisihia Bailey/AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:25 PM
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On 09/05/2024 Licensing Program Analyst (LPA) Yolanda Rosser, Lizeth Villegas and Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA’s met with Marcus Morris /DSP. The facility profile shows that the facility is licensed for a capacity of (50) clients of which (20) may be no ambulatory. The DSP stated that the facility has (20) clients enrolled in the program. The staff-to-client ratio is (1) to (2). The DSP noted that the facility has (0) clients with a Restricted Health Care condition. Currently, there are (0) clients using protective or assisted devices. Clients are from South Central Los Angeles Regional Center.

The day program is a single-story structure located in a commercial building. Facility grounds consist of the following: Front lobby/waiting area, two (2) separated activity rooms, two (2) storage room spaces and four bathrooms. There is an outdoor activity space designated.

The LPA’s and DSP toured the entire facility. LPA found that the inside areas are free of hazards and obstructions. The restrooms have working toilets and wash basins that can accommodate non-ambulatory clients in wheelchairs. Emergency phone numbers are posted and readily available for review in the activity area. The fire extinguishers are up to fire code, and the facility's telephone system is working correctly.

The bathrooms were found to be within Title 22 regulations, clean, and operational. The water temperature correctly measures between 105°F and 120°F: bathroom #1 was at 108.2°F, bathroom #2 was at 107.3°F, and the kitchen sink was at 113.5°F. A comfortable temperature is maintained throughout the facility. Smoke detectors and carbon monoxide alarm systems are built in and checked by the fire department every year. The facility is equipped with central air. All knives and poisons were kept locked at the time of the visit.

The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: MALIYAH'S PLACE
FACILITY NUMBER: 198602939
VISIT DATE: 09/05/2024
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As a part of today's inspection, LPA reviewed (3) client records, (3) staff records. All records were appropriately maintained.

A first aid kit has been inspected, with at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze, and the current first aid manual. These items are stored in locked steel drawers, available for staff use but inaccessible to clients. The facility conducted a fire drill on 07/15/24, and a Disaster Plan was on file. The program does not provide transportation.

The facility does not handle clients' cash resources or manage clients' medications. Facility Annual Fees Current.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies; therefore, no citations were issued at this time.

An exit interview was conducted, and Marcus Morris, the DSP, received a copy of the Facility Evaluation Report.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Yolanda Rosser
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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