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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606758
Report Date: 04/08/2026
Date Signed: 04/08/2026 03:51:48 PM

Document Has Been Signed on 04/08/2026 03:51 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:CHATEAU OF OAKSFACILITY NUMBER:
197606758
ADMINISTRATOR/
DIRECTOR:		ROLANDO & LILY LAZATINFACILITY TYPE:
740
ADDRESS:15239 CAMARILLO STREETTELEPHONE:
(818) 510-0080
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY: 6CENSUS: 4DATE:
04/08/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:43 PM
MET WITH:Rolando Lazatin - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced Case Management visit at 1:43PM. The LPA met with staff and explained the reason for the visit. The Licensee Rolando Lazatin arrived at 2:31PM. Entrance interview conducted.

Beginning at 1:50PM, the LPA conducted a physical plant tour with staff.

On 07/27/2006, the facility was granted a fire clearance for a total of five (5) non-ambulatory residents. The floor plan indicated Bedroom #1 was a staff room and Bedrooms #2, #3, and #4 were resident bedrooms. Currently, the facility has a total of six (6) bedrooms. Bedroom #1 is utilized as a resident bedroom and Bedroom #4 was split into two (2) bedrooms with a built-in wall. The Licensee stated a building permit was not needed and did not have documentation. Staff confirmed that the new staff room was a previous hallway walk-in closet. Further record review revealed that on 06/28/2019, the facility had six (6) residents, however, it was only cleared for a capacity of five (5).

On 08/07/2024, LPA Sandra Urena and Erica Mosley conducted an annual visit and observed the facility’s floor plan did not reflect what was on file with the Department. The facility was cited with a plan of correction to provide the Department with an updated floor plan and obtain a new fire clearance. The plan of correction was not met as a new fire clearance was not obtained.

Report Continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Quoc Huynh
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2026
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: CHATEAU OF OAKS
FACILITY NUMBER: 197606758
VISIT DATE: 04/08/2026
NARRATIVE
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On 08/05/2025, LPA Huynh conducted an annual visit and inquired about the fire clearance to which the Licensee stated they contacted the city for clearance the prior year and an inspection was conducted. The facility had corrections and provided them to the Inspector who allegedly provided verbal confirmation that the inspection was passed. However, no documentation of the inspection was provided. The LPA advised the Licensee to contact the city and obtain a new fire clearance. On 08/11/2025, the Department provided the city with a Fire Safety Inspection Request.

On 02/27/2026, LPA Huynh contacted the city Inspector who stated that the last inspection was conducted on 08/30/2024 and was closed due to inactivity. On 03/09/2026, LPA Huynh contacted the Licensee via email requesting an update on the fire clearance and did not receive a response.

During today’s visit, the Licensee stated that after the visit on 08/05/2025, they contacted the city and did no further follow up. The Licensee provided confirmation of a Pre-Inspection/Consultation Request dated 04/01/2026, however an inspection date has not been scheduled. The LPA also discussed reporting requirements and provided the Regional Office’s email to ensure all Incident Reports were received.

An immediate civil penalty in the amount of $500 was assessed for a violation of the facility’s fire clearance. The Licensee was advised that failure to correct may result in additional civil penalties and the Licensee understood.

Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (Refer to LIC 809-D).

Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Quoc Huynh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/08/2026 03:51 PM - It Cannot Be Edited


Created By: Quoc Huynh On 04/08/2026 at 03:24 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: CHATEAU OF OAKS
FACILITY NUMBER: 197606758

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/09/2026
Section Cited
CCR
87202(a)

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(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...

This requirement was not met as evidenced by:
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The Licensee will provide an updated LIC 200, facility sketch, and confirmation of the scheduled pre-inspection to CCLD by the POC due date.
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Based on observation, interview, and record review, the Licensee did not comply with the above cited section in the facility's fire clearance was not maintained which poses an immediate health, safety, and personal rights risk to persons 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.
Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:
Quoc Huynh
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2026


LIC809 (FAS) - (06/04)
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