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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606315
Report Date: 06/09/2025
Date Signed: 06/09/2025 12:28:01 PM

Document Has Been Signed on 06/09/2025 12:28 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:VCT HOME CARE, INC.FACILITY NUMBER:
197606315
ADMINISTRATOR/
DIRECTOR:		VICTORIA TORRESFACILITY TYPE:
740
ADDRESS:16334 LAHEY STREETTELEPHONE:
(818) 360-9833
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 4CENSUS: 4DATE:
06/09/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Ronald Barit, AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 06/09/25 at 9:10AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Teresita Pugado and disclosed the purpose of the visit. Ronald Barit, the administrator was called and arrived about fifteen (15) minutes later.

LPA asked for the census, resident, and staff files.


A physical tour was conducted at 10:15 AM and observed the following:



The Kitchen area was toured, LPA observed there to be sufficient seven (7) day supply of non-perishable foods and seven (7) day perishable food for all residents. The kitchen area was clean at the time of the tour. There is extra, food in the kitchen pantries and two (2) other pantries located in between the bedrooms in the hallway. The knives are at the bottom of the one (1) of the kitchen cabinets on your right-side locked and inaccessible to the residents. The chemicals are under the sink locked and inaccessible to the residents.

The medications and first aid kit are locked and inaccessible to the residents on top of one (1) of the kitchen cabinets.

The fire extinguisher is located against the wall on your left-hand side of the entrance of the facility. It is fully charged. The expiration date is 01/2026.

LIC 809C-continued

NAME OF LICENSING PROGRAM MANAGER: Troy Agard
NAME OF LICENSING PROGRAM ANALYST: Gina Saucedo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2025
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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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: VCT HOME CARE, INC.
FACILITY NUMBER: 197606315
VISIT DATE: 06/09/2025
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The house temperature is at 72-degrees Fahrenheit. The smoke detectors/carbon monoxides are in the hallway area. They were tested and working properly.

Bedrooms: There are four (4) bedrooms for residents and three (3) full bathrooms. Four (4) bedrooms are single, occupied for residents. One (1) of the bedrooms has a private bathroom. The other bathroom is next to one (1) of the closets that are filled with extra food in the hallway. There is another bathroom located behind the kitchen that is new construction. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 119–120-degree Fahrenheit. There are also two (2) staff bedrooms that is new construction.

The living room area has enough seating for the residents and the staff. There is a fireplace that is covered and inaccessible to the residents. The dining area has a television and a telephone line.

There is an office located at the entrance of the facility on your right-hand side.

Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 04/2025-04/2026. At the entrance of the facility against the right-side of the facility there is a billboard with signs: Yes and Ombudsman. Against the wall of the kitchen there is the Infection Control Plan, Emergency and Disaster Plan, House Rules, Grievance Procedures, Planned Activities and the Facility Residents Registry.

Outside/Backyard: There is an outside/backyard that is currently inaccessible to the residents in care because of the continued construction occurring of a new pipeline. There is also a small shed also located in the backyard. The facility does not have a signal system. The facility does not have a pool/body of water. The washer and dryer is outside located on your right-hand side of the facility prior to entering the backyard.



Let it be noted, there has been major changes to the original facility sketch. The original facility sketch had five (5) bedrooms. Bedroom #5 is no longer there instead there is a bathroom in that location. The dining hall next to the kitchen is no longer there. The dining hall is now located behind the kitchen. The garage is no longer there. There is currently pending fire clearances that have not been finalized and facility sketch has to be updated/corrected regarding the new construction.

An exit interview was conducted, citation(s) and civil penalties were issued, appeal rights and a copy of this report was given to the administrator.

NAME OF LICENSING PROGRAM MANAGER: Troy Agard
NAME OF LICENSING PROGRAM ANALYST: Gina Saucedo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/09/2025 12:28 PM - It Cannot Be Edited


Created By: Gina Saucedo On 06/09/2025 at 11:20 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: VCT HOME CARE, INC.
FACILITY NUMBER: 197606315

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87305(A)
Prior to construction or alterations, all facilities shall obtain a building permit.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation], the licensee did not comply with the section cited above in major changes of the facility sketch which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/10/2025
Plan of Correction
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Licensee/Administrator is to send updated facility sketch to Community Care Licensing Department
Type A
Section Cited
CCR
87202(A)
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above in getting a fire clearance approved for updated facility construction which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/10/2025
Plan of Correction
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Licensee/Administrator shall sent update fire clearance to Community Care Licensing and update LIC 200 for new construction.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Troy Agard
NAME OF LICENSING PROGRAM MANAGER:
Gina Saucedo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2025


LIC809 (FAS) - (06/04)
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