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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603176
Report Date: 10/06/2022
Date Signed: 10/06/2022 09:47:05 AM

Document Has Been Signed on 10/06/2022 09:47 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
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:ALPHA & OMEGA PRE EMPLOYMENT CENTERFACILITY NUMBER:
198603176
ADMINISTRATOR:AVERY, JOSEPHFACILITY TYPE:
775
ADDRESS:4235 EAST COMPTON BLVDTELEPHONE:
(310) 509-3764
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 15CENSUS: 0DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Joseph AveryTIME COMPLETED:
10:30 AM
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On 10/06/22, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Joseph Avery, Licensee, and the purpose of today’s visit was explained. The facilities annual fees are current.

The facility is licensed to serve Developmentally Disabled Adults ages 18 to 59. The requested capacity is for (15) clients; (15) Ambulatory Adults. There are currently zero (0) clients. This facility is in a commercial area, in a single- story building, with iron bars on the windows and contains an open lobby near the front entrance. Four (4) activity rooms; Dining room (contained a working refrigerator) with tables and chairs; storage area/cabinets for facility records, client records, and client personal belongings.
Additionally, there is a sitting area/lounge, computer lab, training room, bathroom, and a ramp to the entrance. The outside perimeter of the building will not be used for client activities. The back hallway contains lockers for additional storage of clients' personal belongings.

LPA and Mr. Avery toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All activity rooms and common areas were checked. Adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bathrooms were found to be clean and operational. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. Fire extinguishers were charged, smoke/carbon monoxide were operable.
During the visit, LPA observed the facility for infection control practices, screening protocols for visitors, staff and participant, sanitizing stations (Located in common areas and restrooms) and 30-day supply of Personal Protective Equipment (PPE). LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (cdss.ca.gov) Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there were no deficiencies cited. Exit interview held and a copy of the Facility Evaluation Report was provided to Joseph Avery, Licensee.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
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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