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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336408335
Report Date: 02/12/2025
Date Signed: 02/12/2025 01:35:12 PM

Document Has Been Signed on 02/12/2025 01:35 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SOCIAL VOCATIONAL SERVICES, RIVERSIDEFACILITY NUMBER:
336408335
ADMINISTRATOR/
DIRECTOR:		REGINALD SMITHFACILITY TYPE:
775
ADDRESS:1220 PALMYRITA AVENUETELEPHONE:
(951) 222-7088
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY: 45CENSUS: 31DATE:
02/12/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:01 AM
MET WITH:Reginald Smith, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Yolanda Delgado conducted an unannounced visit to the facility to follow up on an alleged incident that was reported to CCLD involving Client #1 (C1) and several Facility staff on February 4, 2025 and another incident that was reported by the facility that involved Client #2 (C2) and Client #3 (C3) that occurred on February 5, 2025. Upon learning of the alleged incident, the facility is not meeting the reporting requirements in a timely manner for incident that occurred on February 4, 2025. LPA met with Program Director Reginald Smith who was informed of the purpose of the visit. During today's visit there was thirty-one (31) clients and twenty-one (21) staff present.

LPA toured the facility, conducted interview and requested copies of pertinent records. The requested documentation was provided to LPA. There are no imminent health or safety concerns observed.

The requested documentation will be provided to LPA by close of business on 2/12/2025.

There will be one (1) deficiency that will be cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted and a copy of this report, 809-D and Appeal rights was reviewed and provide to RD Smith.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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Document Has Been Signed on 02/12/2025 01:35 PM - It Cannot Be Edited


Created By: Yolanda Delgado On 02/12/2025 at 11:12 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
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SOCIAL VOCATIONAL SERVICES, RIVERSIDE
FACILITY NUMBER: 336408335

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
CCR
82061(a)

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82061 Reporting Requirements:
(a) Upon the occurrence, during the hours the day program is providing services to the client, of any of the events specified in Section 82061(a)(1), a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in Section 82061(a)(2) shall be submitted to the licensing agency within seven days following the occurrence of the event. (1) Events reported shall include...:
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Licensee will do an In-Service training with staff and address personnel issues with corrective action and email copies to LPA by POC due date.
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(D) Any unusual incident which threatens the physical or emotional health or safety of any client; This requirement was not being met as evidenced by: During the visit LPA observed an SIR in client's file and LPA confirmed with RO that an SIR has not been received from the facililty within the seven (7) days as required. This poses an immediate health and safety risk to residents in care.
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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:Jazmond D Harris
LICENSING EVALUATOR NAME:Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


LIC809 (FAS) - (06/04)
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