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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603525
Report Date: 11/26/2024
Date Signed: 11/26/2024 12:22:00 PM

Document Has Been Signed on 11/26/2024 12:22 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:LAMBERT PLACE, THEFACILITY NUMBER:
198603525
ADMINISTRATOR/
DIRECTOR:		ALVAREZ, EDUARDOFACILITY TYPE:
737
ADDRESS:13304 LAMBERT RDTELEPHONE:
(909) 631-8521
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY: 3CENSUS: 3DATE:
11/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:28 AM
MET WITH:Eduardo AlvarezTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
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Licensing Program Analyst (LPA) Galarza conducted an unannounced case management visit as part of the monitoring compliance plan discussed during the Noncompliance Conference agreement. The purpose of the visit was discussed with Administrator Eduardo Alvarez. LPA conducted an interior and exterior physical plant tour of the facility and reviewed facility records.

Observations and Record Review Findings:

  • A total of 8 staff, 2 lead staff, and Administrator were observed during the AM shift. There are currently 40 staff employed. A reduction of staff was noted. Administrator stated that some staff did not complete RBT training requirements, were terminated due to attendance, or voluntarily left.
  • Staff Schedule [Nov. 17, 2024 - Nov. 30, 2024] and Weekly Assignments records were reviewed. Staff to resident ratio is met. Effective October 1, 2024, night shift staff ratio was decreased per DDS and ELARC recommendation.
  • Employee Conduct and Discipline/Employee Relations: "Personnel 'Intimate' Relationship Policy" was implemented on 9/25/2024. A copy was reviewed and obtained.
  • Facility certified another staff as back-up CPI certified training instructor. Proof of Certified Instructor Identification Card for staff Derrez Coleman was reviewed. Certification date 11/22/2024. On 11/19/2024, Lead RBT Adriana Harbin completed the Eastern Los Angeles Regional Center Residential Services Orientation Program.
  • The Emergency and Disaster Plan was reviewed in order to ensure the Emergency Power Outage Plan was added. On 9/5/2024 the facility had a power outage for approximately 8 hours. The facility was notified in advanced and Administration staff planed accordingly. However, the Emergency Disaster Plan did not include an Emergency Power Outage Plan. A copy of the plan was obtained.
  • The exterior surveillance cameras were removed on 9/13/2024.
  • The facility hallway walls have large areas that have been damaged by staff chair use. Administrator stated a work order has been requested. Citation is being issued.
No health and safety concerns were observed during this visit. A an exit interview with Administrator Eduardo Alvarez was conducted. A copy of the report and appeal rights were issued.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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Document Has Been Signed on 11/26/2024 12:22 PM - It Cannot Be Edited


Created By: Noemi Galarza On 11/26/2024 at 11:02 AM
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: LAMBERT PLACE, THE
FACILITY NUMBER: 198603525

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/10/2024
Section Cited
CCR
80087(a)

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Buildings and Grounds. The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement was not met evidenced by:
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Administrator stated a work order for wall repairs has been placed.

Submit picture proof that the walls were repaired.
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Based on observation, the facility hallway walls are in disrepair due to staff chair usage. This poses a potential health and safety risk to persons in care.
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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: 11/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/26/2024


LIC809 (FAS) - (06/04)
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