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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603429
Report Date: 01/23/2024
Date Signed: 01/23/2024 04:54:36 PM

Document Has Been Signed on 01/23/2024 04:54 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
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: 83DATE:
01/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:51 PM
MET WITH:Cassandra Luques, Regional DirectorTIME COMPLETED:
04:55 PM
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Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Case Manager Blanca Brambila. Regional Director Cassandra Luques 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, vendored by Eastern Los Angeles Regional Center. The facility provides transportation services, and is equipped with 10 vans, 1 truck & 2 buses. Clients bring their own meals and snacks. Facility provides Community Inclusion Services programming. Twelve (12) Adult CARE tool domains were utilized with the inspection.

Infection Control:

  • The facility has an Infection Control Plan and COVID-19 Mitigation Plan. Infection control practices and Personal Protective Equipment (PPEs) were observed. Clients and visitors are no longer being screened, but the facility encourages hand washing and self symptom check of staff and visitors.

Physical Plant/Environmental Safety:


  • 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 [changing room in 1 restroom], restrooms that are ADA approved to accommodate non-ambulatory persons in wheelchairs, 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. The facility's last fire inspection was conducted on 1/9/204 by SSD Alarm.

  • The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Electrical smoke and sprinklers were observed. A carbon monoxide detectors was tested. The facility has three (3) fully charged fire extinguishers. Cleaning supplies and toxic substances are inaccessible to clients. Water temperature readings measured between the required 105 - 120 degrees Fahrenheit. The facility maintains emergency food supply and water. Emergency Phone numbers, exit plan and programming schedules were posted. The building contains central air conditioning and heating. First aid kits/Manuals are kept in activity rooms; consisting of thermometer, tweezers, scissors, antiseptic, bandages, gauze.
See next page
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2024
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 3
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: 01/23/2024
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Operational Requirements:
  • The Program Design is current.
  • Fire clearance has been approved for 75 ambulatory and 12 non-ambulatory clients.
  • Care and supervision to meet the clients needs was observed. Special equipment [Hoyer lift & wheelchairs] are used.
  • Liability insurance expires 9/15/2024.
  • The facility does not handle client's monies and does not have a Surety Bond.

Staffing:
  • A total of 23 staff members provide care and supervision to the clients.

Personnel Records/Staff Training:
  • Six (6) staff files were reviewed for criminal background clearance and training.
  • Personnel records have health/TB screenings, CPI training, certifications, and 1st Aid/CPR training. Staff training is conducted monthly.

Client Rights/Information:
  • Personal rights were observed in client files.

Client Records/Incident Reports:
  • Eight (8) client files were reviewed and were observed to be complete. They contained ISP, IPP, medical assessments, and TB clearance.

Food Service:
  • There is a staff kitchen and a client kitchen that were observed to be clean and sanitary. All sharps were locked. Clients bring their own lunch, but snacks and meals are provided if needed.


See next page.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 01/23/2024
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Health Related Services:
  • There are no centrally stored medications because the facility does not administer client medications.

Incident Medical and Dental:
  • All clients have Individual Services Plans on file.
  • Staff training was observed.

Disaster Preparedness, and Emergency Intervention:
  • The facility has an updated Emergency Disaster Plan LIC 610D containing emergency evacuation information.
  • An emergency drill was conducted on 12/8/2023, within the last 6 months as required. The facility conducts monthly emergency drills addressing different training topics.


Emergency Intervention:
  • No manual restraints or seclusion are used with clients in care.

No deficiencies were cited.

Exit interview conducted with Regional Director Cassandra Luques. Due to printing issues a copy of the report will be mailed and emailed.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC809 (FAS) - (06/04)
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