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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405801240
Report Date: 03/23/2022
Date Signed: 03/23/2022 03:29:42 PM

Document Has Been Signed on 03/23/2022 03:29 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:LEARNING CENTER, THEFACILITY NUMBER:
405801240
ADMINISTRATOR:JEFFERS, RANEILEFACILITY TYPE:
775
ADDRESS:1610 W GRAND AVETELEPHONE:
(805) 473-3005
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY: 50CENSUS: 30DATE:
03/23/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Raneile JeffersTIME COMPLETED:
03:35 PM
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Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 03/23/2022 at 2:30 PM. LPA met with Administrator Raneile Jeffers and explained the purpose of the visit.

The Day Program is currently closed to in-person services. The program is running virtually online 5 days a week and staff drop off packets to clients homes on Fridays. LPA took a physical plant tour of the facility with Administrator. The facility is completely empty inside with a check-in and PPE station at the front entry.. The facility plans to do some remodeling before opening back up to in-person services. The facility has submitted a mitigation plan to the department and it has been approved. The facility has an entry point at the front door where everyone entering completes sign-in, symptom questionnaire and temperature screening. All documentation will be kept on file. The entry station has hand sanitizer along with a thermometer. Signs will be posted on the front door, entry area and walls in common areas regarding Covid-19 once remodeling is completed and in-person services resume. All staff will be required to wear face masks when in the facility or on outings with clients in the community. Facility does have areas for visiting inside and outside. The facility will also offers virtual and telephone communications to all clients in care. Staff, Clients and visitors will be informed of the facilities infection control policies. New clients and staff will be tested and negative results received before working or attending in-person services at the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed.

Continued 809-C
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: LEARNING CENTER, THE
FACILITY NUMBER: 405801240
VISIT DATE: 03/23/2022
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 Emergency Disaster plan will be posted and all agencies with telephone numbers are listed. Administrator is in charge of infection control and provides training and education to staff, clients and visitors. Administrator is in charge of staffing and works on any issues or additional coverage. If any suspected or confirmed cases of Covid-19 are found clients would be isolated and home contacted for pick-up from program. Staff will use full PPE, N95 masks, and face shields when dealing with any pending or confirmed cases of Covid-19. Facility is able to dedicate a room for client isolation. Precautionary signs will be posted on isolation room. Facility has plans for delivering medications and meals to isolation room if needed and required. The facility has proper cleaning and disinfectant sprays. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Administrator will keep a line list of all vaccinated and tested staff/clients in care with dates/results. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. Activities have been modified to individuals or small groups with social distancing. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks will be stocked with soap, paper towels and hand washing signs. Staff and resident records are kept in locked cabinets in the staff office. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. Administrator will contact LPA once remodeling is completed and in-person services have resumed.

No deficiencies observed during the visit and all infection control protocols are being followed.

Exit interview completed and copy of report emailed to Administrator/Licensee.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
LIC809 (FAS) - (06/04)
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