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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336409382
Report Date: 05/05/2023
Date Signed: 05/08/2023 08:34:59 AM

Document Has Been Signed on 05/08/2023 08:34 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:BASIC OCCUPATIONAL TRAINING CENTER, INC.FACILITY NUMBER:
336409382
ADMINISTRATOR:MITZIE YODITESFACILITY TYPE:
775
ADDRESS:1323 JET WAYTELEPHONE:
(951) 657-8028
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 105CENSUS: 68DATE:
05/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cheree Vogel, Case ManagerTIME COMPLETED:
12:00 PM
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On 05/05/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene met with Case Manager, Cheree Vogel who was informed of the purpose of visit. LPA toured the facility inside and out with Cheree Vogel.

Tour included:

Kitchen; LPA toured the kitchen and observed kitchen to be clean. LPA observed emergency food and water. The refrigerator and stove are in working order. Sharps are stored in a locked cabinet located in the kitchen, available only to authorized individuals. Trash cans has tight-fitting lids. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 40 degrees Fahrenheit and Freezer was measures at 0 degrees Fahrenheit.

Lunch Room; LPA toured the lunch room and observed area to be clean and furnitures in good condition. Temperature was 67 degrees Fahrenheit.



Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector are functioning properly.

Bathroom; LPA toured facility bathrooms and observed bathrooms to be clean and equipped. There is also a good number of personal toiletries available for the clients in care. The hot water measured at 106 degrees Fahrenheit



Offices and Classrooms; LPA toured Offices and Classrooms and observed rooms to be clean and well furnished.

Continue on LIC809-C
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: BASIC OCCUPATIONAL TRAINING CENTER, INC.
FACILITY NUMBER: 336409382
VISIT DATE: 05/05/2023
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Continued from LIC809.

Laundry; LPA observed washing machine and dryer are all in good repair and sufficient for approved census. Cleaning supplies are stored away in the janitorial closet in the hallway, inaccessible to clients.

Records: All staff present have a criminal record clearance in file and are confirmed as being associated with the facility. Three #3 staff and #3 clients records were reviewed. All required postings, including COVID’s postings, were posted near the entryway and throughout the facility. The administrator certificate expires on 5/9/2024.

Interview; LPA interviewed three #3 staff and #3 clients present.

No deficiencies noted at the time of visit. An exit interview was conducted, and a copy of this report was reviewed with and provided to Cheree Vogel.

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC809 (FAS) - (06/04)
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