<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850244
Report Date: 03/13/2025
Date Signed: 03/14/2025 08:41:55 AM

Document Has Been Signed on 03/14/2025 08:41 AM - 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:PALS SKILLS CENTERFACILITY NUMBER:
565850244
ADMINISTRATOR/
DIRECTOR:		POURAN MOUSAZADEHFACILITY TYPE:
775
ADDRESS:1310 E MAIN STREETTELEPHONE:
(562) 489-3859
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY: 30CENSUS: 8DATE:
03/13/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Jesus LanderosTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Teresa Camara conducted a collateral visit to this facility regarding complaint numbers 29-AS-20241015160709, 29-AS-20240501135228, and 29-AS-20240130110843 which pertain to another licensed facility. LPA interviewed clients who live at the facility.

LPA met with the new Program Director/Administrator of Pals Skill Center, Jesus Landeros, and explained the reason for the visit. Administrator informed LPA he has been in the position for about two and half months.

During LPA's visit today, LPA interviewed two clients starting at 10:01 a.m.

No deficiencies were observed during LPA's visit. Exit interview conducted and report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1