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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600680
Report Date: 03/29/2024
Date Signed: 03/29/2024 12:03:35 PM


Document Has Been Signed on 03/29/2024 12:03 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245



FACILITY NAME:NEXT STEP, THEFACILITY NUMBER:
198600680
ADMINISTRATOR:SMITH, TOIYAFACILITY TYPE:
735
ADDRESS:3644 W. 63RD STREETTELEPHONE:
(323) 291-8156
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:4CENSUS: 4DATE:
03/29/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Licensee/Administrator Toiya SmithTIME COMPLETED:
12:30 PM
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On 03/29/2024 at 8:12 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. On today's visit LPA met with facility Licensee/Administrator Toiya Smith. The facility is a one-story structure located in a residential neighborhood. It consists of the following: living room, dining room, kitchen, three (3) bedrooms), (2) bathrooms, an outdoor area with a table, chairs and umbrella. All rooms were inspected. Beds and bedding supplies were in good condition. Sufficient lighting was provided. Adequate storage for client personal belongings was observed. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured within Title 22 regulations.

Evaluation Report Continues on LIC 809-C

SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: David EspanaTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2024
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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: NEXT STEP, THE
FACILITY NUMBER: 198600680
VISIT DATE: 03/29/2024
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Storage areas for personal hygiene, cleaning supplies, toxins, and sharp objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. One (1) fire extinguisher was fully charged. Smoke detectors and carbon monoxide detectors were operable.

There were no deficiencies or plans of correction provided on today’s visit.


An exit interview was conducted with Toiya Smith. A copy of this report was signed and provided to Licensee and Administrator Toiya Smith.

End of report.

SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: David EspanaTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
LIC809 (FAS) - (06/04)
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