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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603235
Report Date: 08/11/2023
Date Signed: 08/11/2023 02:27:32 PM

Document Has Been Signed on 08/11/2023 02:27 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:EL SOL DAY PROGRAMFACILITY NUMBER:
198603235
ADMINISTRATOR:DIANE PEREZFACILITY TYPE:
775
ADDRESS:12510 E SLAUSON AVE, UNIT ATELEPHONE:
(562) 714-6790
CITY:SANTA FE SPRINGSSTATE: CAZIP CODE:
90670
CAPACITY: 55CENSUS: 3DATE:
08/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Rosa Arroyo - Assistant Program DirectorTIME COMPLETED:
02:42 PM
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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Rosa Arroyo (Assistant Program Director) and explained the reason for the visit.The facility is an Adult Day Program (ADP) licensed to serve a capacity of 55 ambulatory developmentally disabled adults in the age range 18 and over, of which 25 may be non-ambulatory.

A tour of the single-story building included: 4 staff offices, a conference room, lobby, 5 activity areas, 4 participants restroom of which 1 has a shower and 1 has a changing bed, 1 staff restroom, 1 printer room, 1 nursing room, a relaxation room, and a kitchen area with a dining room. LPA toured the facility with Rosa Arroyo and the following was observed: the program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked in a storage closet. The facility has a fire sprinkler system in place and fire extinguishers were observed in each activity room. The restrooms were observed to be clean and have the required grab bars for non-ambulatory clients. The water temperature was tested in the participant's restrooms, in restroom #1 temperature was tested at 111.3 degrees F, restroom #2 was tested at 118.3 degrees F, restroom #3 was tested at 105.4 degrees F, and restroom #4 was tested at 105.8 degrees F, which is within the required 105-120 degrees F. The program maintains a comfortable temperature in each room/office. The First Aid kit was observed in the printer room and it is fully stocked with all required items including a current manual. Facility is not currently administering medications. Food supplies were not observed because clients will bring their own food from their homes. The kitchen area has a refrigerator where the clients can store their food. Sharps are kept locked in a kitchen's cabinet. There is a locked closet where clients can store their personal belongings. The last fire/emergency disaster drill was done on 07/21/2023 and earthquake drill was done on 07/25/2023. LPA reviewed 3 client and 4 staff files. LPA interviewed 2 staff and 1 client. The other 2 clients where out in the community.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Luis Mora
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2023
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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