191220171-1-21-2025-31-AS-HRAI-DD5UJJ-20250121143734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191220171
Report Date: 01/21/2025
Date Signed: 01/21/2025 02:37:55 PM

Document Has Been Signed on 01/21/2025 02:37 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	THERAPEUTIC LIVING CENTERS FOR THE BLIND		FACILITY NUMBER:	191220171
ADMINISTRATOR/ DIRECTOR:	SANDOVAL,JUAN		FACILITY TYPE:	775
ADDRESS:	7955 LINDLEY AVENUE		TELEPHONE:	(818) 708-4940
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY: 90		CENSUS: 72	DATE:	01/21/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:44 AM
MET WITH:	Juan Sandoval, Administrator		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced annual inspection. LPA met with the Artistic Director James Sauer, and disclosed the reason for the visit. LPA and the Artistic Director toured the facility inside and out. LPA continued the rest of the inspection with the Administrator Juan Sandoval.

It is a single story building with activity rooms, music room, theater room, yoga/sensory room, arts and crafts room, occupational therapy room, exercise room, computer lab, business offices, common areas, and outdoor areas. It has an approved fire clearance for 60 ambulatory consumers and 30 nonambulatory consumers aged 18 – 81. LPA observed a total of eight (8) fire extinguishers and last serviced on 05/17/24.

Physical plant At 9:44 AM, LPA observed total of ten (10) activity classrooms for clients in care. LPA observed the walls, windows, ceilings, floors and floors to be in good repair. LPA did not observed any hazards or obstructions during the walk through of the facility. Activity rooms and furniture were checked. The facility maintains a comfortable temperature at 69°F.

Outside activity space- LPA observed appropriate chair and table furnishings along with a covered shaded area for consumers.

Indoor activity rooms: LPA observed the furniture to be in good repair. Staff were actively participating in activities which appear to be appropriate for the clients.

The kitchen area: LPA observed that the facility uses the kitchen as a cooking classroom for clients. LPA observed the kitchen area to be clean and free from pests. The garbage cans have fitted lids. The kitchen equipment were observed to be clean. At 9:50 AM, LPA observed cleaning supplies and sharps to be locked and not accessible to consumers. The carbon monoxide detector in the dining area was operational. At 9:52 AM, LPA observed that the fire drill last conducted on 10/23/2024. Continue on LIC 809C

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025

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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: THERAPEUTIC LIVING CENTERS FOR THE BLIND	FACILITY NUMBER: 191220171
	VISIT DATE: 01/21/2025

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The facility did not offer food or medication service. LPA observed that clients bring their own food and eat in the dining area of the facility. The facility keeps only PRN medication for few of the clients only. LPA observed the PRN medication inside the office in a locked drawer.

LPA toured the laundry area. The washing machine and dryer are in good repair. The dining area was observed to be clean. Table and chairs are in good repair.

LPAs toured the male and female bathrooms. Hot water measured 111.8 °F. LPA observed sufficient supply of toilet paper, soap and paper products. Trash cans have lids to protect from cross contamination.

Between 11:00 AM to 12:30 PM, LPA reviewed records of nine (9) clients and four (4) staff. Client and staff records appeared to be complete and updated.

Administrative: LPA collected Certificate of Liability Insurance, and LIC500.

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: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025

LIC809 (FAS) - (06/04)

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