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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850684
Report Date: 05/01/2026
Date Signed: 05/01/2026 02:57:18 PM

Document Has Been Signed on 05/01/2026 02:57 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:A BEAUTIFUL CHATEAU, INCFACILITY NUMBER:
195850684
ADMINISTRATOR/
DIRECTOR:		MAKICHYAN, ELIZAFACILITY TYPE:
740
ADDRESS:7631 1/2 BEN AVENUETELEPHONE:
(323) 818-0000
CITY:N. HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 6CENSUS: 5DATE:
05/01/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:17 PM
MET WITH:Marine KhachatryanTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced case management - deficiencies visit at the facility at 09:47 AM. LPA met with facility staff who contacted the Administrator Anahit Markaryan and Licensee Representative Marine Khachatryan. The Licensee Representative arrived at approximately 10:15 AM and the Administrator arrived shortly after, entrance interview was conducted and the reason for the visit was explained.

During today’s visit LPA conducted a physical plant tour, reviewed five (5) resident files, conducted a medication audit for two (2) residents, and conducted interviews with the Administrator, Licensee Representative, one (1) staff member, and two (2) residents between 10:05 AM and 02:00 PM.

During file review LPA observed R1’s resident file. LPA observed that R1 was hospitalized as a result of a seizure due to missed medication administration on 04/21/2026. LPA reviewed the facility’s file and did not observe an incident report submitted to Community Care Licensing Division (CCLD) for this incident. LPA interviewed the Licensee Representative and Staff #1 (S1) who confirmed that an incident report for the hospitalization was not submitted to CCLD. LPA informed the Licensee Representative and S1 that a written report shall be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any incident which threatens the welfare, safety or health of any resident. The Licensee Representative expressed understanding and agreed to submit the incident report and a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD.

CONTINUED ON LIC 809C.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Trevor Byrne
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2026
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: A BEAUTIFUL CHATEAU, INC
FACILITY NUMBER: 195850684
VISIT DATE: 05/01/2026
NARRATIVE
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During the physical plant tour LPA observed a storage shed in the backyard to be unlocked. LPA observed this shed to contain laundry sanitizer, soaps, laundry detergent pods, and cleaning chemicals. LPA informed the Licensee Representative that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. The Licensee Representative expressed understanding and secured the shed at the time of the visit.

The following deficiencies were cited (refer to LIC 809D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.

NAME OF LICENSING PROGRAM MANAGER: Kasandra Lopez
NAME OF LICENSING PROGRAM ANALYST: Trevor Byrne
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/01/2026 02:57 PM - It Cannot Be Edited


Created By: Trevor Byrne On 05/01/2026 at 02:29 PM
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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: A BEAUTIFUL CHATEAU, INC
FACILITY NUMBER: 195850684

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/01/2026
Section Cited
CCR
87309(a)

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87309 Storage Space and Access
(a) ... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances...are in locked storage...
This requirement is not met as evidenced by:
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The Licensee Representative secured the shed at the time of the visit. POC cleared.
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Based on observation the licensee did not comply with the section cited above as a shed in the back yard which contained laundry sanitizer, soaps, laundry detergent pods, and cleaning chemicals was left unsecured which posed an immediate health and safety risk to clients in care.
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Type B
05/15/2026
Section Cited
CCR87211(a)(1)(D)

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87211 Reporting Requirements
(a) Each licensee shall furnish to the licensing agency such reports...
(1) ...within seven days...
(D) Any incident which threatens the welfare, safety or health of any resident...
This requirement is not met as evidenced by:
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Licensee Representative agreed to submit the incident report and a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD no later than POC due date.
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Based on record review and interview the licensee did not comply with the section cited above as the facility did not submit an incident report to CCLD for the 04/20/2026 hospitalization of R1 which poses a potential health, safety, or personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kasandra Lopez
NAME OF LICENSING PROGRAM MANAGER:
Trevor Byrne
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2026


LIC809 (FAS) - (06/04)
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