<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603429
Report Date: 02/10/2022
Date Signed: 02/10/2022 10:57:14 AM

Document Has Been Signed on 02/10/2022 10:57 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:SOCIAL VOCATIONAL SERVICESFACILITY NUMBER:
198603429
ADMINISTRATOR:FERNANDEZ, CINDYFACILITY TYPE:
775
ADDRESS:12449 PUTNAM STTELEPHONE:
(562) 801-1248
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY: 75CENSUS: 0DATE:
02/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Cindy Fernandez, AdministratorTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA explained the purpose of the visit to Case Manager. Administrator Cindy Fernandez arrived later. The Day Program is licensed to serve 75 ambulatory, of which 12 may be non-ambulatory developmentally disabled adults ages 18 and over. During the today's visit, LPA toured the physical plant. The facility provides transportation services and is equipped with 12 vans.

Physical Plant: Facility is a one story building in an industrial area. The program consists of a lobby area, eight (8) training/activity rooms [arts/crafts, game room, library, salon, IPAD/computer room, media, fitness room, and quiet room], 2 restrooms [changing room in 1 restroom], 6 staff offices, conference room, kitchen, staff lounge, storages rooms, and 2 exits. There is an outdoor gated patio area with three (3) shaded patio tables. The last disaster drill was conducted on 12/7/2021 The facility's last fire inspection was conducted on 1/19/2022 by SSD Alarm System. Fraker Fire Protection.
  • Due to the COVID-19 pandemic in-person programming has not began. Services are provided remotely.
  • COVID-19 Infection Control signs to promote hand washing, cough/sneeze etiquette, and physical distancing were observed in the entrance, common areas, hallways, and bathrooms. LPA was screened upon entry by staff. Facility has an approved COVID-19 mitigation plan.
  • Disinfectant products are available in each room.
  • Restrooms have sufficient soap and posted hand washing signs.
  • No medication records were reviewed due to zero client census.
  • The Quiet room will be used as an COVID-19 isolation room if needed.
  • Personal Protective Equipment (PPE's) of more than 30 days were observed.
  • Staff were observed wearing masks. Staff and client files were not reviewed during today's visit.
  • A posted Emergency Disaster Plan and emergency food supply and water were observed.
No deficiencies were cited.
Exit interview was conducted with Administrator Cindy Fernandez. A copy of the report was provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2022
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 1