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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191220171
Report Date: 02/18/2025
Date Signed: 02/18/2025 10:31:46 AM

Document Has Been Signed on 02/18/2025 10:31 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:THERAPEUTIC LIVING CENTERS FOR THE BLINDFACILITY NUMBER:
191220171
ADMINISTRATOR/
DIRECTOR:		SANDOVAL,JUANFACILITY TYPE:
775
ADDRESS:7955 LINDLEY AVENUETELEPHONE:
(818) 708-4940
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 90CENSUS: 72DATE:
02/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:James Sauer, Day Program SupervisorTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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Licensing Program Analysts (LPAs) Huma Rahimi and Michael Cava conducted an unannounced Case Management-Incident visit to this facility and met with Day Program Supervisor, James Sauer and explained the reason for the visit.
On 02/06/2025, Community Care Licensing (CCL) received a Report of Suspected Physical Abuse (SOC 341) and Special Incident Report (SIR) from the facility. On 02/05/2025, Client #1 (C1) attempted to grab his/her 1:1 staff #1 (S1) and another staff #2 (S2) reported witnessing S1 slap C1's hand multiple times. S2 immediately reported the incident to one of the supervisors.
The facility immediately removed S1 from the facility after the incident and conducted an internal investigation. Upon completion of the internal investigation, on 02/10/2025, S1 was permanently terminated from their position.

No deficiencies are cited during today's visit.

Exit Interview Conducted / A Copy of the Report Issued.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2025
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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