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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603429
Report Date: 01/21/2025
Date Signed: 01/21/2025 04:26:06 PM

Document Has Been Signed on 01/21/2025 04:26 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/
DIRECTOR:		FERNANDEZ, CINDYFACILITY TYPE:
775
ADDRESS:12449 PUTNAM STTELEPHONE:
(562) 801-1248
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY: 75CENSUS: 36DATE:
01/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Cindy FernandezTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Administrator Cindy Fernandez. 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. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection.

The following were observed/inspected:



Infection Control: An Infection Control Plan was submitted to CCL and was available on site for review.

Physical Plant/Environment 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, computer, media, fitness, and quiet rooms], 2 [changing room in 1 restroom], restrooms are ADA approved to accommodate non-ambulatory persons in wheelchairs, 6 staff offices, conference room, kitchen, staff lounge, storages rooms, and 2 exits. Client cubby storage lockers are in the hallway. There is an outdoor gated patio area with three (3) shaded patio tables with benches. The facility's last fire inspection was conducted on 8/22/2024 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, and carbon monoxide detectors were observed. 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.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SOCIAL VOCATIONAL SERVICES
FACILITY NUMBER: 198603429
VISIT DATE: 01/21/2025
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Operational Requirements: Fire clearance is 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 9/15/2025. The facility does not handle client's monies and does not have a Surety Bond.

Staffing: A total of 29 staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Seven (7) staff files were reviewed for criminal background clearance and training. Personnel records have health/TB screenings, certifications, and 1st Aid/CPR training. Staff training is conducted monthly.

Client Rights/Information: Personal rights were posted and in client files.

Client Records/Incident Reports: Eight (8) client files were reviewed. They contained ISP, IPP, medical assessments, and TB clearance, with the exception of clients C4 & C6 whose files were missing medical assessments. A citation was issued.

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.

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 1/10/2025, 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.

A deficiency was cited.



Exit interview 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: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/21/2025 04:26 PM - It Cannot Be Edited


Created By: Noemi Galarza On 01/21/2025 at 03:48 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SOCIAL VOCATIONAL SERVICES
FACILITY NUMBER: 198603429

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82069(a)
Client Medical Assessments
(a) Prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client that determines the licensee's ability to provide necessary health-related services to the client. The assessment shall be used in developing the Needs and Services Plan.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that clients (C4 & C6) do not have medical assessments on file. C4 was admitted to the program 7/2016 & C6 was admitted to the program on 5/2021, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/11/2025
Plan of Correction
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Administrator agreed to contact the Regional Center and obtain a current medical asessment for C4 & C6. Submit a copy of the medical assessments as proof of correction.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lisa Hicks
LICENSING EVALUATOR NAME:Noemi Galarza
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


LIC809 (FAS) - (06/04)
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