191201966-9-29-2026-29-AS-QHUH-DYDV6M-20260929160946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191201966
Report Date: 09/29/2026
Date Signed: 09/29/2026 04:09:56 PM

Document Has Been Signed on 09/29/2026 04:09 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:	MOTION PICTURE & TELEVISION FUND		FACILITY NUMBER:	191201966
ADMINISTRATOR/ DIRECTOR:	LORENA SORIA		FACILITY TYPE:	740
ADDRESS:	23388 MULHOLLAND DRIVE		TELEPHONE:	(818) 876-1208
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY: 241		CENSUS: 157	DATE:	09/29/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:10 PM
MET WITH:	Lorena Soria - Executive Director Martha Gutierrez - Nursing Manager		TIME VISIT/ INSPECTION COMPLETED:	04:20 PM

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) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit. The LPA arrived at 12:10PM and met with Executive Director Lorena Soria. Entrance interview conducted. Beginning at 1:40PM, the LPA and Nursing Manager Martha Gutierrez toured the physical plant areas inside and outside to ensure there were no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility includes three (3) buildings: Stark Villa, the Lodge, and the Cottages. The facility is also on a shared campus with other related medical facilities. The following was observed: COMMON AREAS: The Stark Villa common areas included game rooms/family rooms, library, art room, nursing stations, lobby, dining room, and kitchen. The Lodge common areas included nursing stations, dining room, and kitchen. The Cottages common areas included a library, lounge, dining room, and kitchen. Common area furniture was observed to be in good condition and were relatively clean. The facility maintained a comfortable temperature throughout the buildings. Required postings were observed in the lobbies. BEDROOMS/RESTROOMS: Fifteen (15) randomly selected resident bedrooms were inspected throughout the buildings. Resident bedrooms were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Resident restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. Report Continued on LIC 809-C

Kristin Heffernan
Quoc Huynh
	DATE: 09/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: MOTION PICTURE & TELEVISION FUND	FACILITY NUMBER: 191201966
	VISIT DATE: 09/29/2026

NARRATIVE

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All restrooms were sufficiently stocked with hygiene products. Hot water was tested and measured between 104.7 degrees F and 116.1 degrees F which is within the required range.

KITCHENS: There were three (3) total kitchens – one (1) in each building. The facility’s dining rooms and kitchens were inspected and found to be in compliance with Title 22 regulations. There was a sufficient supply of perishable and non-perishable food. The LPA observed the freezers and walk-in refrigerators; food appeared to be of good quality and labeled with expiration dates. Kitchen sinks had signage of tap water delivering above 125 degrees F. Emergency food and water were stored in a central location for the entire campus.

SURROUNDING GROUNDS: The property is secured with gates and twenty-four (24) hour security. There were several shaded areas with adequate outdoor furniture for residents’ use. The outdoor areas were clean and passageways were free of obstructions and hazards. There was a community center that contained a gym, physical therapy, and a secured pool. Additional buildings and common areas on the campus did not pose a risk to residents in care.

INFECTION CONTROL/EMERGENCY DISASTER: The LPA reviewed the facility's Infection Control Plan and Emergency Disaster Plan. LPA noted that the facility is in compliance with regulation with both plans reviewed annually. There were fire extinguishers throughout the facility, which were serviced on 01/14/2026. The facility conducts emergency disaster drills as required, with the last drill documented on 08/12/2026 and 08/25/2026. Fire alarm system is tested annually with the last inspection conducted by Gene Pira Inc on 02/28/2026 for the Cottages and Lodge buildings, and 08/27/2026 to 08/28/2026 for the Stark Villa.

Due to time constraints, the LPA will return for an annual continuation visit.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Quoc Huynh
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

LIC809 (FAS) - (06/04)

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