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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603699
Report Date: 12/10/2024
Date Signed: 12/10/2024 11:03:10 AM

Document Has Been Signed on 12/10/2024 11:03 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:GIANT STEPS SPECIALIZED DAY PROGRAMFACILITY NUMBER:
198603699
ADMINISTRATOR/
DIRECTOR:		PERALTA, MARIAFACILITY TYPE:
775
ADDRESS:5707 PACIFIC BLVD., SUITE ETELEPHONE:
(213) 204-1000
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 15CENSUS: 0DATE:
12/10/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Administrator Maria PeraltaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Glenn Trueman made an announced pre-licensing visit and was greeted by Administrator Maria Peralta.
Tour of the program was conducted and included the following:
Administrator's Office, Case Manager Office, Conference Room, Staff and Client lockers, Cabinet storing client files, locked closet for chemicals, office supplies in closet, Isolation Room, Training area classroom, lunch room and training area, kitchen with refrigerator and microwave, 1st aid kit, emergency supplies and copy machine.
Inspection included the following domains: Infection Control, Physical Plant/ Environmental Safety, Personnel Records- Staff Training, Client Records- Incident Reports, Client Rights/ Information, Food Service, Health Related Services and Disaster Preparedness.
Program will not be administering medication.
The program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked. The restrooms were observed to be clean and water temperature measured between 105 F.- and 120 F.
Fire Clearance has been maintained.
The program maintains a comfortable temperature in each room/office.
The First Aid kit is kept and it is fully stocked with all required items including a current manual. Food is not prepared at this program and clients are able to bring their own food.
Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.
Component 3 was completed at today's visit.

Pre-Licensing is complete and this facility has no deficiencies
Exit interview conducted.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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