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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603521
Report Date: 09/06/2023
Date Signed: 09/06/2023 02:56:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2023 and conducted by Evaluator Nicholas Reed
COMPLAINT CONTROL NUMBER: 31-AS-20230130120032
FACILITY NAME:TLC SUPPORT CENTERFACILITY NUMBER:
197603521
ADMINISTRATOR:SANDOVAL,JUANFACILITY TYPE:
775
ADDRESS:7915 LINDLEY AVENUETELEPHONE:
(818) 708-1740
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:30CENSUS: 89DATE:
09/06/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Mario MurrietaTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Facility does not have enough staff to meet the needs of clients in care.
Staff do not ensure that client is administered their medication(s) as prescribed.
Staff are not adequately trained.
INVESTIGATION FINDINGS:
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At 8:45 a.m. on 09/06/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced subsequent complaint visit. LPA met with the Administrator to disclose the reason for the visit.

LPA interviewed Staff #1 (S1) on 02/07/2023 at 2:25 p.m. and conducted a record review at 2:45 p.m. Today, LPA reviewed pertinent records at 9:30 a.m., interviewed staff and clients between 10:15 a.m. and 1:00 p.m., and toured the facility at 10:30 a.m. No immediate health and safety concerns were observed. LPA also conducted a collateral visit from 1:15 p.m. to 1:45 p.m. for an interview and record review.

Regarding the allegation “facility does not have enough staff to meet the needs of clients in care” it was alleged the facility had insufficient staff to provide 1:1 assistance to Client #1 (C1) during swim therapy. Record review today at 9:30 a.m. revealed C1 was not approved for 1:1 staffing.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 31-AS-20230130120032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: TLC SUPPORT CENTER
FACILITY NUMBER: 197603521
VISIT DATE: 09/06/2023
NARRATIVE
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LPA’s record review at 2:45 p.m. on 02/07/2023 and today at 9:30 a.m. revealed the facility met the required staffing ratio, and staff who provided care and supervision during swimming sessions had valid water safety certificates. Additionally, staff were certified through the American Red Cross and with in-service trainings for water safety. Interviews today with S1 at 10:15 a.m., Staff #2 (S2) at 12:15 p.m., and Staff #3 (S3) at 12:40 p.m. confirmed the facility operated within the required staffing ratio and all staff who supervised swim therapy had valid water safety certificates. Interview with Client #2 (C2) at 11:40 a.m. today revealed the facility provides sufficient staff to supervise swim therapy. During the physical plant tour at 10:30 a.m. today LPA observed 2 staff supervising 3 clients in swim therapy. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “staff do not ensure that client is administered their medication(s) as prescribed” it was alleged S1 did not properly assist C1 with their medication. Record review today at 9:30 a.m. revealed C1’s medication was to be crushed and given with honey or thick liquids. Record review on 02/07/2023 at 2:25 p.m. revealed S1 had medication passing authorization and training. Interview with S1 today at 10:15 a.m. confirmed they provided C1’s medication as instructed. Clients interviewed today between 10:50 a.m. and 12:00 p.m. had no concerns with medication assistance. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “staff are not adequately trained” it was alleged facility staff were insufficiently trained in medication administration to meet the needs of clients in care. Interview with the Administrator on 02/07/2023 at 2:25 p.m. revealed that some staff did not have medication training, but all client medications were administered by qualified and trained staff. Interview with the facility’s registered nurse today at 10:55 a.m. revealed that she trains and certifies staff for medication assistance. Interviews today with S2 at 12:15 p.m., S3 at 12:40 p.m., and Staff #4 (S4) at 1:15 p.m. confirmed that all staff who assist with client medications are trained and certified. Record review today at 9:30 a.m. revealed all staff assisting with medication had the proper certifications and training. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Appeal rights discussed. Copy of report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2