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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850714
Report Date: 07/01/2026
Date Signed: 07/01/2026 02:34:28 PM

Document Has Been Signed on 07/01/2026 02:34 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:CASTLE OF CAREFACILITY NUMBER:
195850714
ADMINISTRATOR/
DIRECTOR:		DARBINYAN, HARUTYUNFACILITY TYPE:
740
ADDRESS:15362 VALERIO ST.TELEPHONE:
(805) 901-0000
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: 6CENSUS: 0DATE:
07/01/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:39 AM
MET WITH:Harutyun DarbinyanTIME VISIT/
INSPECTION COMPLETED:
02:33 PM
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Licensing Program Analyst (LPA) Sandra Urena conducted a pre-licensing visit and met with the Applicant Harutyun Darbinyan. This is an application for a new facility for a Residential Facility for the Elderly (RCFE) for six residents, two (2) non-ambulatory residents; and four (4) of which may be bedridden resident(s). Fire Clearance was approved on 12/07/2025. Rooms approved for bedridden residents are bedrooms #2 and #3, two residents in each room. Bedroom #1 was approved for two (2) non-ambulatory residents.

The LPA, and the Applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility will be following Title 22 Regulations.
COMMON AREAS: The living room area is equipped with a television, and activities for residents in care. There is a dedicated area for the posting of required documents by the kitchen area. The CCLD Poster needs to be within the regulation size and posted prominently in the common area. Smoke and carbon monoxide alarms were tested and functional at the time of the visit. Medications will be stored in a locked cabinet in the kitchen area. The residents’ and staff files will be stored in same cabinet in a separate compartment. The first aid supplies were complete, including a thermometer. However, a full CPR and First Aid manual needs to be added. All exit doors need to have a signal system installed. Personal Rights will be posted.
Emergency exiting plans inside each room and next to the kitchen sliding door, and telephone numbers must be posted. A cell telephone number will be provided for residents use.
LAUNDRY ROOM: There is a laundry area equipped with washer and dryer. The washer and dryer are located adjacent to the half-bathroom located in the hallway. The detergents and cleaning supplies will be locked in an outdoor shed.
Continues on LIC 809C...
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2026
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: CASTLE OF CARE
FACILITY NUMBER: 195850714
VISIT DATE: 07/01/2026
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KITCHEN: Kitchen knives are stored locked and inaccessible in a locked kitchen drawer. A partial seven-day supply of non-perishable food was available; the applicant will add additional food items (canned fruit, fruit jam, soups, crackers, cookies, etc.). The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen cleaning supplies are currently stored and locked below the kitchen sink. Hot water temperature was recorded at 113.7 degrees Fahrenheit. There were no pesticides or toxins stored near food, or preparation area. The fire extinguisher located by the kitchen area sliding door does not have a purchase receipt. The applicant will look for the receipt or purchase a new one. Drinking glasses need to be purchased.
BEDROOMS: There are three (3) bedrooms for residents in care. All bedrooms are shared bedrooms. Room # 1 is approved for two non-ambulatory residents, and bedrooms 2# and # 3 are cleared for two (2) bedridden residents in each room. All bedrooms were supplied with bedding and linens; however, the applicant will purchase additional blankets for each room. The following is needed in each of the bedrooms: One night stand, and night light, two chairs, A minimum of eight (8) cubic feet of drawer space. Closets need to be organized to allow each resident to have their own closet space. Call buttons for each resident. Rooms #2 and #3 with a ramp will need to be equipped with sturdy hand railings. Room #1 will need to have a ramp installed and equipped with sturdy hand railings. Room#2 needs to have the sliding door passage to the outdoor ramp leveled for easy access.
BATHROOMS: There are three (3) bathrooms; one (1) half-bathroom and two (2) full bathrooms, with showers. Bathrooms need to be equipped with shower bars, and toilet grab bars. The applicant needs to install shower rails and curtains. The applicant will purchase additional supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was between 113.7 degrees Fahrenheit.

SURROUNDING GROUNDS/OUTDOOR AREA: The applicant will remove the discarded items from the back and front patio (old table, paint cans, tile, iron bar, cardboard boxes, etc.). The patio needs to be furnished with outdoor furniture for residents’ use and provide shade. The building has a central entrance for residents and visitors. Left passageway is cleared and can be open from the inside by residents however it is locked from the outside. gate. The front patio area needs to be fenced to prevent residents from wondering up the side stairs, going under the stairs, and wondering through the right-hand side of the property. Water pipes need to be covered to prevent injury to residents.


NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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: CASTLE OF CARE
FACILITY NUMBER: 195850714
VISIT DATE: 07/01/2026
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Pre-Licensing is incomplete with deficiencies to be resolved by 07/29/2026. Follow up Pre-licensure LIC809 will be generated upon resolution.


The applicant completed Component III orientation.

This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.
NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Sandra Urena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC809 (FAS) - (06/04)
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