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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603521
Report Date: 05/14/2024
Date Signed: 05/14/2024 12:43:42 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.RO, 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
05/09/2024 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20240509080543
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: 9DATE:
05/14/2024
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Juan Sandoval, AdministratorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff are operating out of ratio
INVESTIGATION FINDINGS:
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At 9:40 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Juan Sandoval, the Administrator, who granted access to the facility and explained the reason for the visit.

During course of the investigation, interviews and record review were made. At 9:45 AM, LPA requested resident and staff roster. LPA requested copies of pertinent information which include, but not limited to current plan of operation, last fire inspection report, activity schedule, and etc. At approximately 10:00 AM, LPA conducted a physical plant tour. Between 10:15 am – 11:00 pm, LPA interviewed the Administrator, one (1) Day Program Director, one (1) Associate Residential Director, one (1) Qualified Intellectual Disability Person, and four (4) clients.

LIC 9099-C continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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-20240509080543
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: TLC SUPPORT CENTER
FACILITY NUMBER: 197603521
VISIT DATE: 05/14/2024
NARRATIVE
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Staff are operating out of ratio:
It is alleged that the facility did not have an appropriate staff to client ratio. LPA reviewed facility's Plan of Operation where indicated that the ratio is one (1) staff per four clients. During today’s visit LPA visited random classrooms to ensure that appropriate staff was assigned and observed that the facility meets their Plan of Operation requirements. Lastly, during the course of investigation, it was revealed that the complaint was filed with the wrong department. Therefore, the allegation is deemed UNSUBSTANIATED.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2