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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603679
Report Date: 03/22/2024
Date Signed: 03/22/2024 02:08:41 PM

Document Has Been Signed on 03/22/2024 02:08 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:MAINSTREAM CENTERS, INCFACILITY NUMBER:
198603679
ADMINISTRATOR:SOMMERS, TIAFACILITY TYPE:
775
ADDRESS:345 E ROWLAND STREETTELEPHONE:
(626) 335-8110
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY: 120CENSUS: 94DATE:
03/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tia Sommers- Program DirectorTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Val Maldonaldo and Tyler Reyes conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPAs explained the purpose of the visit to the Program Director (PD) Tia Sommers of Mainstream Centers, INC. The facility is licensed as an Adult Day Care.

During today's visit, LPA Maldonado and Reyes conducted a tour of the physical plant with PD Sommers, reviewed (9) client files, (5) staff files and conducted interviews with (4) staff and attempted interviews with clients. LPA's also reviewed (3) client medications, which were centrally stored.

The facility is a single-story building operating as an Adult Day Care. It is licensed to serve (120) adults, ages (18) and over. There is a fire clearance approved for (120) where (24) can be non-ambulatory.
An approved Infection Control plan has been submitted to the department for review. The facility has an active and current auto insurance policy on file, as required for the facility vehicles.
and Break Room.

The following was observed/inspected:
  • (5) Activity rooms with sufficient space
  • (3) bathrooms- (1) was co-ed, (1) women's, and (1) men's with required grab bars
  • A hand wash station with multiple faucets, for client use
  • Multiple Carbon monoxide detectors observed throughout the facility- tested and operable
  • Program site observed to be clean, safe, sanitary and in good repair
  • Disinfectants/cleaning solutions/sharps are centrally stored and inaccessible
  • Water Temperature tested and within range at 105.8F

(Report continued on LIC809-C)
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Valeria Maldonado
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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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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: MAINSTREAM CENTERS, INC
FACILITY NUMBER: 198603679
VISIT DATE: 03/22/2024
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  • Solid waste containers have tight fitting covers on them
  • Client records and staff files reviewed and observed to have the required documents
  • (3) Client's medications were reviewed and observed to be documented properly and given as prescribed
  • Multiple Fire extinguishers were observed throughout the facility and were fully charged
  • The last fire drill was conducted on 02/21/2024

No deficiencies were observed or cited, during today's visit.
An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Valeria Maldonado
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2024
LIC809 (FAS) - (06/04)
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