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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191220171
Report Date: 11/16/2022
Date Signed: 11/16/2022 10:43:16 AM

Document Has Been Signed on 11/16/2022 10:43 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:THERAPEUTIC LIVING CENTERS FOR THE BLINDFACILITY NUMBER:
191220171
ADMINISTRATOR:SANDOVAL,JUANFACILITY TYPE:
775
ADDRESS:7955 LINDLEY AVENUETELEPHONE:
(818) 708-4940
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 90CENSUS: 77DATE:
11/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Juan SandovalTIME COMPLETED:
10:53 AM
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At 9:10 a.m. on 11/16/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out.

The facility was last visited on 11/07/2019 for an annual visit. It is a single story building with activity rooms, music room, theatre room, sensory room, arts and crafts room, occupational therapy room, exercise room, nurse’s office, business offices, common areas, and outdoor areas. It has an approved fire clearance for 60 ambulatory consumers and 30 nonambulatory consumers aged 18 – 62. The facility program changed to a creative arts program with two semesters offered per year.

At the main entrance, staff had a mobile screening station with digital thermometer, visitor log, N95 masks, and hand sanitizer. Handwashing stations were also available. Consumers, staff and LPA were all screened for infectious disease. All staff were observed wearing N95 masks.

Walls, floors, ceilings, and windows were clean and in good repair. At 9:50 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. LPA observed postings for the facility’s masking and visitation policies at the main entrance. Once inside, LPA observed the facility license, emergency disaster plan, COVID precautions, activity schedules, and facility sketch with emergency evacuation routes clearly labelled. The nurse’s office had a fully-stocked first aid kit. The facility had fire alarms and sprinklers throughout. At 9:55 a.m. LPA observed a fully charged fire extinguisher at the front. It was last inspected on 04/06/2022. All emergency exit paths were free from obstructions. Exit doors were unlocked. Shaded and unshaded seating areas were located outside.

The facility had 3 bathrooms. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, and grab bars near the toilet and shower. At 10:01 a.m. LPA measured the water temperature in the large, private bathroom to be 112.6 degrees Fahrenheit.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2022
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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: THERAPEUTIC LIVING CENTERS FOR THE BLIND
FACILITY NUMBER: 191220171
VISIT DATE: 11/16/2022
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The facility did not offer food or medication service. No food or medication were on site.

At 10:03 a.m. LPA tested the carbon monoxide detector at the front to be operational. At 10:25 a.m. LPA reviewed records of recent fire and smoke detection tests. Smoke detector tests were conducted on 05/31/2022. Fire alarm tests were conducted on 03/13/2022. All tests passed.

During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
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