374603533-10-4-2023-08-AS-AROS-CWAP9F-20231004110703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374603533
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:07:14 AM

Document Has Been Signed on 10/04/2023 11:07 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	WORK SKILL RESOURCES		FACILITY NUMBER:	374603533
ADMINISTRATOR:	ENUNWA, EBELE		FACILITY TYPE:	775
ADDRESS:	9349 JAMACHA BLVD		TELEPHONE:	(619) 512-1107
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY: 60		CENSUS: 48	DATE:	10/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Director Emeka Enunwa		TIME COMPLETED:	11:15 AM

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by Destiney Poole, Job Coach with whom LPA discussed the purpose of the visit. Director Emeka Enunwa arrived at the facility during the inspection.

According to the facility’s license, there may be a maximum of sixty (60) developmentally disabled adults ages 18 and above; , all of which are ambulatory. During today’s inspection, there were fifty-eight (58) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Director Emeka Enunwa , toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. Facility does not prepare food on the premises and consumers bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant with Regulations.

There were no sharp objects and toxic chemicals/poisons were safely locked away. No pools or bodies of water were observed on the premises. Smoke alarms, carbon monoxide detectors were present in one building. Signal Fire alarm system is in the other building. Emergency lighting and facility telephone were all working. Fire extinguishers (2) were in working order. First aid kit was complete and readily accessible. Facility able to provide arrangements or transportation for off site work sites.

[CONTINUED ON LIC809-C]

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: WORK SKILL RESOURCES	FACILITY NUMBER: 374603533
	VISIT DATE: 10/04/2023

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[CONTINUED FROM LIC809]

There are three (3) working bathrooms. Two (2) of the bathroom sinks in the far west side building area were unable to reach complaint hot water temperature. After speaking with the Director Enunwa , he informed me this a common accurance early in the morning. He will investigate and possibly add an additional water heater to that side of the building.

LPA interviewed multiple staff and clients. LPA interviews did not raise any licensing concerns. LPA also reviewed multiple staff and client records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated. An exit interview was conducted, this report was discussed with . Director Enunwa and a copy along with Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given to the Director Enunwa.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC809 (FAS) - (06/04)

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