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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004534
Report Date: 03/15/2022
Date Signed: 03/15/2022 11:31:38 AM

Document Has Been Signed on 03/15/2022 11:31 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:VOCATIONAL INNOVATIONS - ANAHEIMFACILITY NUMBER:
306004534
ADMINISTRATOR:RIVA HUITRONFACILITY TYPE:
775
ADDRESS:2557 WOODLAND DRIVE, W.TELEPHONE:
(714) 527-4888
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 75CENSUS: 2DATE:
03/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Sarah Glover, Julian HernandezTIME COMPLETED:
11:46 AM
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Licensing Program Analysts (LPAs) Joseph Alejandre and Andrea Mendivil made an unannounced visit to conduct a case management visit. The Agency received an incident report on 3/14/22, concerning a client (C1) having a behavior episode. LPAs met with Program Director Julian Hernandez. LPAs explained the reason for the visit. LPAs interviewed staff. C1 was having behavior issues and walked out of the building. Facility staff followed C1 and C1 returned to the building. Staff notified C1's responsible party. C1 was continually monitored by staff during the incident. Facility staff reported the incident to the Agency (CCL) and The Regional Center of Orange County (RCOC). LPAs reviewed C1's file. C1 had a behavior episode and the staff de-escalated the incident. C1 is still attending the day program and no other incidents have transpired. LPAs and staff toured the facility. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2022
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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