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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603521
Report Date: 05/05/2026
Date Signed: 05/05/2026 02:42:12 PM

Document Has Been Signed on 05/05/2026 02:42 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: 30DATE:
05/05/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Juan Sandoval, AdministratorTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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At 10:35 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual inspection in conjunction with complaint visit #31-AS-20260428150809. 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 10:45 AM, water temperature tested in the Men’s Bathroom was 108.9 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.

Continue on LIC 809C
NAME OF LICENSING PROGRAM MANAGER: Nichelle Gillyard
NAME OF LICENSING PROGRAM ANALYST: Huma Rahimi
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: 05/05/2026
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At 10:50 AM, LPA observed two (2) fire extinguishers. One of them was observed hanging on the wall in the common area by the dance classroom and was last serviced on 06/09/2025 . The other one was observed in inside of a classroom hanging on the wall and was last serviced on 02/02/2026. LPA observed 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.

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 11:45 PM, LPA reviewed the most recent fire safety report from the Los Angeles Fire Department conducted on 03/20/2026. All systems were functional and passed inspection.


Between 11:50 AM to 2:00 PM, LPA reviewed records of ten (10) clients and four (4) staff. Client and staff records appeared to be complete and updated. LPA also reviewed clients' medication record and did not observe any discrepancies. All medication were given as prescribed by the Physician.

Administrative: LPA collected LIC500.

No deficiency issued during today’s visit.

Exit interview conducted and copy of this report signed and delivered.

NAME OF LICENSING PROGRAM MANAGER: Nichelle Gillyard
NAME OF LICENSING PROGRAM ANALYST: Huma Rahimi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC809 (FAS) - (06/04)
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