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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421701729
Report Date: 05/14/2024
Date Signed: 05/14/2024 01:31:46 PM

Document Has Been Signed on 05/14/2024 01:31 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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:VTC ENTERPRISESFACILITY NUMBER:
421701729
ADMINISTRATOR/
DIRECTOR:		JASON TELANDERFACILITY TYPE:
775
ADDRESS:2445 A STREETTELEPHONE:
(805) 928-5000
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 150CENSUS: 94DATE:
05/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Lori Lee - Designated Back-UpTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst's (LPA's) Rankin and Jeffries conducted a 1 year Annual visit to the facility above. LPA's met with Alejandra Martinez-Arana, Sheryl Sterling, and Lori Lee, and explained the purpose of the visit.

LPA's took a physical plant tour of the facility with staff. The Adult Day Program (ADP) has a submitted mitigation plan, Emergency Disaster Plan, and Infection Control Plan to the department. The ADP has a central entry point for staff to sign in. The facility has 4 clients restrooms with plenty of soap, paper towels, toilet paper, hand washing signs, and changing areas.

Prescriptions medications were locked in a medication cart in the medication room. Staff provide medications to the clients and if unable to take by self the staff with Assist in self-administration of the medications with the hand over hand technique. Once ordered by the physician the medications are given according to the physician’s directions. The facility does not currently have any clients in care with oxygen. Staff ensures all clients with incontinence are kept clean and dry. Staff do evaluate clients to make sure skin breakdown is not occurring.

LPA's reviewed 6 staff files for current 1st Aid/CPR, Background Fingerprints and associated to work at the facility, Job Applications, Health Screening, Criminal Record Statement, Employee Rights, and TB results.
LPA Jeffries reviewed the same 6 staff and observed adequate amount of training required by regulation.
CONTINUED on LIC809-C
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
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.

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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VTC ENTERPRISES
FACILITY NUMBER: 421701729
VISIT DATE: 05/14/2024
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LPA's reviewed 12 client files for Medical Assessments, Consent forms, Emergency ID and information, Person Centered Plan completed annually which meets the Appraisal Needs and Services Plan, Immunization records, TB test with results, CSMDR with MAR, Personal Rights, and Admission Agreements were all signed by clients. The facility does not keep cash resources on clients in care.

Fire pressure system tested by Whittle on February 14, 2024. Fire extinguishers all found to be charged, carbon monoxide alarms were tested and found to be working at time of inspection.

LPA Rankin interviewed 3 clients and 3 staff.

LPA and staff did a complete review of the Care Tool Modules, no deficiencies cited during the full review.

This annual review issued no citations.

Exit interview conducted, and copy of report printed for Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
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
LIC809 (FAS) - (06/04)
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