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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004361
Report Date: 02/16/2023
Date Signed: 02/16/2023 12:26:55 PM

Document Has Been Signed on 02/16/2023 12:26 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
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:PROGRESSIVE COMMUNITY & VOCATIONAL SERVICESFACILITY NUMBER:
306004361
ADMINISTRATOR:YURIDIA LUNAFACILITY TYPE:
775
ADDRESS:2034 PLACENTIA AVENUETELEPHONE:
(949) 548-0744
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY: 75CENSUS: 28DATE:
02/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Yuridia Luna, AdministratorTIME COMPLETED:
12:35 PM
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Licensing Program Analysts (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required inspection visit. LPA was greeted and granted entry into the facility by Administrator Yurida Luna and explained the reason for the visit.

LPA accompanied by Administrator began the toured of the facility. Facility has 28 clients present at the facility at the time of visit. Clients were observed throughout the facility in activities and having lunch. Facility appeared to be clean and sanitary. The facility has a check in station with a sign in procedure and temperature checks. LPA was checked in with a temperature check. LPA observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs throughout the facility. The facility has a Mitigation Plan on file with CCLD. Facility has required Emergency Disaster Plan posted. Hand sanitizer was observed throughout the facility for use. LPA observed a locked storage room equipped with sufficient hand hygiene supplies, cleaning and disinfecting provisions. LPA observed an ample supply of personal protective equipment (PPE) in supply. All bathrooms observed to have a supply of soap, toilet paper and paper towels.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with the Administrator and a copy of this report was provided to the facility
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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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