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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004356
Report Date: 01/16/2025
Date Signed: 01/16/2025 11:54:22 AM

Document Has Been Signed on 01/16/2025 11:54 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:INTEGRATED LIFEFACILITY NUMBER:
306004356
ADMINISTRATOR/
DIRECTOR:		CORINA M. DE LEONFACILITY TYPE:
775
ADDRESS:3634 ATLANTIC AVENUETELEPHONE:
(562) 726-1037
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY: 30CENSUS: 32DATE:
01/16/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:09 AM
MET WITH:Corina De LeonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On January 16, 2025, Licensing Program Analysts (LPA) Deborah Lee, conducted an unannounced Annual visit to the facility listed above. LPA met with Executive Director, Corina De Leon and the purpose of today’s visit was explained. The facility is licensed to served 30 adult clients. The program hours are from 8am-12pm (AM program) 1pm-5pm (PM program)

Physical Plant/Structure The facility is a the facility is a one story structure with six (6) rooms which include activity room, relaxation room, kitchen and work out room, teaching rooms, computer room, staff offices and three (3) bathrooms.

LPA and Executive Director Corina De Leon toured the physical plant. There are no bodies of water or firearms/ammunition on the premises. All client rooms were checked and are in good condition and well maintained. LPA noted adequate lighting was provided to staff and clients, storage for client personal belongings was observed. Walls and floors were in good repair. All equipment, computers and work stations are well maintained.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: INTEGRATED LIFE
FACILITY NUMBER: 306004356
VISIT DATE: 01/16/2025
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Safety

The facility is equipped with smoke and carbon monoxide detectors that are operable. LPA noted seven (7) Smoke/Carbon Monoxide detectors were hard wired with alarm strobes throughout the facility. The last inspection of fire alarm system was on 1/8/25. LPA observed 2 fully charged fire extinguishers. Last emergency drill was conducted on 12/26/24. All entrance/exit doors are marked and accessible. The bathrooms were found to be within Title 22 regulation and were clean and operational. Water temperature properly measured at 112.8 degrees F in bathrooms. LPA observed a comfortable temperature was maintained in the facility.

Infection Control

During visit, LPAs observed the facilities Infection Control procedures. LPA observed Infection Control signs posted throughout the facility.

Files/Postings

LPA reviewed four (4) staff files and found that ( 4) out of (4 ) contain the required documents, certification, and training. LPA reviewed (4) client files and found that ( 4 ) out of (4 ) contained the required documents. LPA observed all required posting including license, personal rights, “see something, say something,” activity schedule, infection control signs. During file review, LPA observed all licensing fees are current.

No deficiencies were cited during inspection. LPA conducted final interview with Executive Director Corina De Leon and a copy of this report was provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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