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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603429
Report Date: 11/29/2022
Date Signed: 11/29/2022 11:55:48 AM

Document Has Been Signed on 11/29/2022 11:55 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: 44DATE:
11/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Blanca Brambila, Case Manager TIME COMPLETED:
12:00 PM
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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 Blanca Brambila. Director of Regional Administration Rosalind Ford was explained the purpose of the visit telephonically. The Day Program is licensed to serve 75 ambulatory, of which 12 may be non-ambulatory developmentally disabled adults ages 18 and over. At this time the day program is only providing traditional community based programming services to 49 clients, and alternative programming (Zoom or partial days) to 44 clients.

Physical Plant:
  • Facility is a one story building. The program consists of a lobby area, eight (8) training/activity rooms [arts/crafts, game room, library, salon, IPAD 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 with benches. Facility provides transportation services, and is equipped with 10 vans & 2 buses (1 is not operable at this time).
  • Electrical smoke detectors, and sprinklers were observed. Carbon monoxide detector was observed. A pull-switch / fire alarm sounding device was observed in the kitchen, and main entrance of the facility.
  • Bathrooms were observed to be operational, clean, and ADA approved to accommodate non-ambulatory persons in wheelchairs.

  • The last fire emergency drill was conducted on 11/21/2022. The facility's last fire inspection was conducted on 1/19/2022 by SSD Alarm System Fraker Fire Protection.


See page 2 for report continuation.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 SERVICES
FACILITY NUMBER: 198603429
VISIT DATE: 11/29/2022
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Infection Control:
  • Visitors are screened in the main entrance lobby area. A sign-in sheet, thermometer, and hand sanitizer were observed. Hand sanitizer was observed in common areas and all activity rooms. Clients are encouraged to wear masks during programming.
  • COVID-19 Infection Control Practices and signs were observed in the main entrance, activity rooms, offices, and public restrooms.
  • Adequate supply of Personal Protective Equipment (PPE's) was observed. The facility has a contingency plan for back-up staffing if needed. An Infection Control Plan was submitted on June 7, 2022.


Medications:
  • Zero (0) centrally stored client medication records were reviewed, since the day program does not have any clients coming to the day program. All are attending community based programming.


Staff Files:
  • Criminal Background Clearance was checked. Many of the staff that were previously associated to the facility are not listed on Guardian. A Technical Violation was issued. Management staff shall ensure that all staff are associated through Guardian, and if there is an error with the Guardian system they have been instructed to email Guardian.

Liability Insurance & Surety Bond:
  • Proof of liability insurance and Surety bond was provided.


NOTE: Requested documents took a long time to obtain. Management staff shall have a contingency plan that addresses operational procedures in case Administration staff is absent and/or unavailable.

Exit interview was conducted with Case Manager Blanca Brambila. A copy of the report was issued.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
LIC809 (FAS) - (06/04)
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