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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005816
Report Date: 10/16/2023
Date Signed: 10/16/2023 12:09:14 PM

Document Has Been Signed on 10/16/2023 12:09 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 COUNTY ASC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:NO LIMITS LEARNING CENTERFACILITY NUMBER:
306005816
ADMINISTRATOR:ENGLISH, COURTNIFACILITY TYPE:
775
ADDRESS:925 W. LAMBERT RD. UNIT CTELEPHONE:
(714) 674-0368
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY: 150CENSUS: 120DATE:
10/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Gabriella Allen - Program AdministratorTIME COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at No Limits Learning Center to conduct an unannounced Required 1 Year Inspection. LPA arrived at the facility at 8:35am, LPA was greeted and granted entry by CEO Courtni English. Program Administrator (PA) Gabriella Allen and Director of Operations (DO) Maryalice Garcia joined for the tour and inspection.

The facility is a two-story building. The first floor has six classrooms, one office, an art prep room, three bathrooms, lobby and multi-purpose room. The second floor has one classroom, a conference room, a nursery, a teacher supply room, eight offices and an open activity area. Smoke/carbon monoxide detectors could not be tested without alerting local emergency services. Fire extinguishers are fully charged and were last serviced on 11/21/22. The multi-purpose room on the first floor houses a health/fitness area with exercise equipment, lunch area, lockers for clients and a Snack Shack. Clients work the Snack Shack to develop job skills. LPA observed clients working in the Snack Shack and staff to be assisting clients in classrooms. Each classroom has a first aid/emergency kit. LPA observed each classroom to be led by two staff members. Hot water measured at 111.2 degrees Fahrenheit in the single-stall restroom in one of the first floor classrooms, 110.8 degrees Fahrenheit in the Men’s bathroom and 110.3 degrees Fahrenheit in the Women’s bathroom. LPA observed no hazards or obstacles. Clients bring their own food to day program. Clients take their medication at home. All and any toxic chemicals, cleaning solutions and disinfectants are inaccessible to clients and will be stored and locked storage closets. Files are kept in offices on the second floor. LPA reviewed four client files. LPA reviewed four staff files. LPA interviewed four clients. Upon record review, LPA observed client files to not have signed admission agreements. A deficiency is being given on this day. The program offers academic/career enrichment, arts & crafts, social development and more.

Based on the observations made during today's visit, one deficiency is being cited as per Title 22 Division 6 Chapter 2 of the California Code of Regulations. An exit interview was conducted with Program Administrator Gabriella Allen and Director of Operations Maryalice Garcia, and a copy of this report was provided.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Dwayne L Mason
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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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Document Has Been Signed on 10/16/2023 12:09 PM - It Cannot Be Edited


Created By: Dwayne L Mason On 10/16/2023 at 11:45 AM
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: NO LIMITS LEARNING CENTER
FACILITY NUMBER: 306005816

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82068(c)
(c) Agreements shall be dated and signed, acknowledging the contents of the document, by the client and the client's authorized representative and the licensee or the licensee's designated representative, no later than seven calendar days following admission.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above due to client files being maintained without signed admission agreements which poses a potential safety risk to persons in care.
POC Due Date: 11/03/2023
Plan of Correction
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Administrator stated that they will have all clients sign admission agreements. Administrator stated the facility will keep signed agreements on file and available for review. Administrator stated they will send to the LPA via email signed admission agreements for 10% of the current census of clients by the assigned POC due date of 11/03/2023.
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:Armando J Lucero
LICENSING EVALUATOR NAME:Dwayne L Mason
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2023


LIC809 (FAS) - (06/04)
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