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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004361
Report Date: 03/14/2025
Date Signed: 03/17/2025 08:38:26 AM

Document Has Been Signed on 03/17/2025 08:38 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:PROGRESSIVE COMMUNITY & VOCATIONAL SERVICESFACILITY NUMBER:
306004361
ADMINISTRATOR/
DIRECTOR:		YURIDIA LUNAFACILITY TYPE:
775
ADDRESS:2034 PLACENTIA AVENUETELEPHONE:
(949) 548-0744
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY: 75CENSUS: 4DATE:
03/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Yuridia LunaTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
NARRATIVE
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On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 70 ambulatory clients and 5 non-ambulatory clients. LPA met with Administrator (AD) Yuridia Luna.

At 9:10am, AD conducted facility tour. LPA observed that the facility has designated rooms for different activities which include but are not limited to activity rooms, a computer room, an exercise room, a media room, dining room, private changing areas and two restrooms for client use, male and female. At 9:20am, LPA tested the water temperature in the client men's restroom where hand washing is done and the measurement was 83.6 degrees F. During the tour, LPA did not observe any item accessible to clients which would pose a risk to their health and safety. LPA observed 4 clients exercising in the exercise room. Vehicle registration is current. The facility maintains a locked location for chemicals. Evacuation plan, clients rights, facility license, and emergency disaster plan and emergency exits are posted on the wall.

LPA reviewed 4 client files and 5 staff files. Three out of four client files contained required documentation including admission agreements, physician reports, needs and service plans, and consent forms. Staff files reviewed, included medical assessment/ TB, criminal record clearance and proof of CPR training. Two out of five staff files reviewed contained partial or outdated required training.

At 10:40am, LPA reviewed the disaster drill log with the last drill was conducted on 7/3/2024. Fire extinguishers were charged. LPA was unable to verify the last time the fire safety systems were last maintained. LPA reviewed the Emergency Disaster and Infection Control Plans.

Continued on LIC809C dated 3/14/2025.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
Document Has Been Signed on 03/17/2025 08:38 AM - It Cannot Be Edited


Created By: Fred Arias On 03/14/2025 at 12:07 PM
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
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: PROGRESSIVE COMMUNITY & VOCATIONAL SERVICES
FACILITY NUMBER: 306004361

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
82088(e)(1)
Fixtures, Furniture, Equipment, and Supplies
(1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA temperature measurement, the water temperature in the men's bathroom sink measured at 83.6 F which poses an immediate health and safety risk to persons in care.
POC Due Date: 03/15/2025
Plan of Correction
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Facility to contract plumber make adjustments as needed to bring up the temperature within regulations
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Alisa Ortiz
LICENSING EVALUATOR NAME:Fred Arias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 03/17/2025 08:38 AM - It Cannot Be Edited


Created By: Fred Arias On 03/14/2025 at 12:07 PM
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
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: PROGRESSIVE COMMUNITY & VOCATIONAL SERVICES
FACILITY NUMBER: 306004361

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82023(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA record review, the last disaster drill was conducted on 7/3/2024 which poses a potential health and safety risk to persons in care.
POC Due Date: 03/21/2025
Plan of Correction
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The to log next disaster drill and email LPA with proof.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Alisa Ortiz
LICENSING EVALUATOR NAME:Fred Arias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: PROGRESSIVE COMMUNITY & VOCATIONAL SERVICES
FACILITY NUMBER: 306004361
VISIT DATE: 03/14/2025
NARRATIVE
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Based on the observations made during today’s visit, the following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC809 (FAS) - (06/04)
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