197603521-1-30-2024-31-AS-MVAO-D26TEL-20240205134007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603521
Report Date: 01/30/2024
Date Signed: 01/30/2024 02:18:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/23/2023 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20231023121734

FACILITY NAME:	TLC SUPPORT CENTER		FACILITY NUMBER:	197603521
ADMINISTRATOR:	SANDOVAL,JUAN		FACILITY TYPE:	775
ADDRESS:	7915 LINDLEY AVENUE		TELEPHONE:	(818) 708-1740
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	30	CENSUS: 11	DATE:	01/30/2024
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Juan Sandoval, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff member sexually abused clients

INVESTIGATION FINDINGS:

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At 12:50 PM, Licensing Program Analysts (LPAs) Angela Panushkina and Perchui Milena Khurshudyan conducted a subsequent visit to deliver final findings. LPAs met with the Administrator and explained the reason for the visit.

During the initial visit made on 10/24/23, by LPA Panushkina, interviews and record review were made. At 09:40 AM, LPA requested clients and staff roster. At approximately 09:50 AM, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. At 10:00 AM, LPA requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, etc., relevant to the investigation. Between 10:10 AM – 12:30 PM, LPA interviewed the Administrator, four (4) staff members and ten (10) out of eleven (11) clients who were able to communicate.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20231023121734

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: TLC SUPPORT CENTER	FACILITY NUMBER: 197603521
	VISIT DATE: 01/30/2024

NARRATIVE

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It was alleged that a sexual abuse occurred to female clients by the Director of Occupational Therapy (DOT), who is allowed to conduct physical assessments on unclothed female clients. Interview with the Administrator, conducted by LPA Panushkina, during the initial visit, revealed that prior to employment all staff members must receive a various training on “Care and Supervision,” “Personal Rights,” Mandated Reporter,” etc. Administrator also informed the LPA that prior to clients being evaluated/assessed an approved consent must be received by the client/legal guardian. If the client does not wish to be assessed or re-evaluated, the DOT will not make any visitations. Moreover, interview with the DOT revealed that prior to the assessment/evaluation of the client, he/she contacts the facility to schedule a visit and once at the facility, the DOT makes an observation on how the staff members provide care to the client. The DOT informed LPA that during the assessment/evaluation of the client, one (1) or two (2) staff members are always present, and his/her main job is to make an observation on how the clients are being handled by the facility staff and to make necessary changes/advise/suggestion. The DOT stated: “With my assessments/re-evaluation we can get goals to increase our clients’ independence.” Interviews with four (4) staff members confirmed that during the DOT’s assessments a staff member must be present. All parties interviewed also confirmed that DOT only makes an observation, during the assessment and no physical contact between the DOT and female clients is involved. Lastly, the LPA conducted an interview with ten (10) out of eleven (11) clients and all clients denied the above allegation. Based on interviews and record review there is no sufficient information to verify this allegation. Therefore, this allegation is deemed Unsubstantiated at this time.

No deficiency cited during today’s visit.
Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

LIC9099 (FAS) - (06/04)

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