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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603292
Report Date: 02/24/2023
Date Signed: 02/24/2023 12:49:53 PM

Document Has Been Signed on 02/24/2023 12:49 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:VOCATIONAL INNOVATIONS-DIAMOND BARFACILITY NUMBER:
198603292
ADMINISTRATOR:FRANCO, AMEDFACILITY TYPE:
775
ADDRESS:850-856 N. DIAMOND BAR BLVDTELEPHONE:
(909) 833-2111
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 60CENSUS: 6DATE:
02/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:56 AM
MET WITH:Staff S1TIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 02/24/2023 at 8:45 am. LPA was met by Staff S1 and explained the purpose of the visit. Facility is licensed to serve developmentally disabled clients 18 and older; 60 ambulatory, of which 15 may be non-ambulatory. Clients at this facility are receiving services from San Gabriel/Pomona Regional Center. LPA requested and obtained a copy of Personnel Report (LIC 500), Resident Roster (LIC 9020), Infection Control Plan-Adult Day Program (LIC 9283) and Mitigation Plan Report (LIC 808).

LPA OBSERVATIONS: Tour began at 9:40 am and was led Staff #1 (S1). The Facility is a single-story building located within in a shopping plaza.

· Lobby: Was clean and well maintained. No hazards were observed.

· Main Floor 1: At 9:42 am LPA observed several clients interacting one on with job coaches. Clients were observed using markers to draw and color on coloring books. LPA several tables and chairs for clients to sit and perform activities. LPA observed a medicine ball rack that contained several different weighted medicine balls in the corner. At 9:48 am, LPA observed digital thermostat to read 68 degrees F. Area was observed to be clean and large enough for clients to roam. No hazards were observed. LPA observed signs promoting hand washing were observed throughout this area. Sketch of facility with emergency exits and location of fire extinguishers was observed.

· Main Floor 2: LPA observed this area to be clean and with plenty of open space for clients to roam. LPA observed several chairs and tables for clients to perform activities. LPA observed a 6ft by 6ft 20 compartment cubby that contained various board games and balls for clients. Several safety mats were observed throughout this area. 24 metal stacked lockers were observed next to cubby. Clients may bring personal items and lock to secure their belongings while attending program. Sketch of facility with emergency exits and location of fire extinguishers was observed. LPA observed signs promoting hand washing throughout this area.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: VOCATIONAL INNOVATIONS-DIAMOND BAR
FACILITY NUMBER: 198603292
VISIT DATE: 02/24/2023
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· 4 shared bathrooms: Womens bathroom #1 was observed to be clean and contained soap and paper towels. Water temperature in sink read at 115.5 degrees F. LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed. Mens bathroom #2 was observed to be clean and contained soap and paper towels. Water temperature in sink read at 116.2 degrees F. LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed. Bathroom #3 was observed to be clean and contained soap and paper towels. Water temperature in sink read at 105.0 degrees F. LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed. Bathroom #4 was observed to be clean and contained soap and paper towels. Water temperature in sink read at 107.5 degrees F. LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed.

· Relaxation Room: LPA observed a bean bag and chair in room. At 10:01 am, LPA pushed “help button” that was affixed to wall. Staff arrived within seconds to assist. LPA observed a sign in sheet for clients and staff sign in and out of room if clients utilize room. Sketch of facility with emergency exits and location of fire extinguishers was observed. LPA observed signs promoting hand washing throughout this area.

· Covid Isolation Room: LPA observed two bean bags and 1 chair in this room. Sketch of facility with emergency exits and location of fire extinguishers was observed. LPA observed signs promoting hand washing throughout this area.

· Computer Room: LPA observed three computer stations for clients to use while in program. Area was clean and LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed.

· Library Room: LPA observed a bookshelf with various books. Area was clean and contained 1 table with 2 chairs. Area was clean and LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: VOCATIONAL INNOVATIONS-DIAMOND BAR
FACILITY NUMBER: 198603292
VISIT DATE: 02/24/2023
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·Retail Room: LPA observed a cash register, 4 yoga mats, several hand cloths, 6 multi color aprons, and 1 exercise ball. Area was clean and LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed.

· Breakroom: At 10:18 am, LPA observed several dead roaches under break room sink cabinet. Cabinet was observed to be inaccessible to 6 out of 6 clients in care. Break room area is accessible to clients. LPA observed several clients heating up their meals with staff supervision. Appliances in break room were observed to be clean and in working order. LPA observed signs promoting hand washing. Sketch of facility with emergency exits and location of fire extinguishers was observed.

LPA observed carbon monoxide in hallways. Smoke detector is hard wired and tested during visit. LPA observed and tested auditory alarms that were located on all exit doors. Several fire extinguishers were observed throughout the facility and observed to be fully charged.

No deficiencies are being cited during visit today however, a technical violation is being issued. Exit interview was conducted with Staff S1 and a copy of this report, LIC 9102 and appeal rights was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
LIC809 (FAS) - (06/04)
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