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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603521
Report Date: 03/03/2025
Date Signed: 03/03/2025 02:16:16 PM

Document Has Been Signed on 03/03/2025 02:16 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:TLC SUPPORT CENTERFACILITY NUMBER:
197603521
ADMINISTRATOR/
DIRECTOR:
SANDOVAL,JUANFACILITY TYPE:
775
ADDRESS:7915 LINDLEY AVENUETELEPHONE:
(818) 708-1740
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 30CENSUS: 17DATE:
03/03/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Juan Sandoval, AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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At approximately 11:05 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Administrator Juan Sandoval and disclosed the reason for the visit. LPA and the Administrator toured the facility and observed the following:

Entry: The front yard was well-maintained and surrounded by an unlocked gate. The facility monitored the premises with surveillance cameras at the front and sides of the building.

Kitchen: The kitchen contained a sink, a microwave, and a refrigerator. All areas were sanitary. The kitchen is not used for any cooking.


Bathrooms: There are three (3) bathrooms at the facility. A Men’s Bathroom and a Women’s Bathroom were near the front entrance and had multiple stalls. A private bathroom was in the common area in the south side of the building. All bathrooms contained fully stocked liquid soap, paper towels, and trash cans. At 11:25 AM, water temperature tested in the Men’s Bathroom was 120 degrees Fahrenheit.

Common Activity Space: The facility is a Day Program which operates from 8:30 am to 2:30 pm.


The facility is on the second level located by the main office. LPA observed there to be one large open area in which program activities are provided. Furniture used is in good repair. LPA did not observe any obstructions or hazards. LPA observed exercise equipment which appears to be in adequate condition. Other equipment used for activities appears to be in adequate condition.
At 11:30 AM, the Fire extinguisher appear to be full and last serviced on 05/17/2024. Carbon monoxide detector is operational. Smoke detectors were hard-wired throughout the building, and fire sprinklers were installed throughout the building. The facility had first aid kits at the front entrance and in the southern common area. Facility temperature was maintained at 70 degrees F.
Continue on LIC 809C
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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: TLC SUPPORT CENTER
FACILITY NUMBER: 197603521
VISIT DATE: 03/03/2025
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Activities: Activity schedule was available upon request. LPA observed staff actively working with consumers.

Food Service: LPA toured the kitchenette area. There is a refrigerator which is not used for consumers. Consumers bring their own lunch and snacks which does not require refrigeration. .
If a client comes with no lunch then food will be offered to consumers and water is readily available.

Fire Safety: At 1:30 PM, LPA reviewed the most recent fire safety report from the Los Angeles Fire Department conducted on 03/20/2024. All systems were functional and passed inspection.


Between 12:00 AM to 1:25 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.

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: Huma Rahimi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025
LIC809 (FAS) - (06/04)
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