405850663-2-19-2026-29-AS-GHTO-DRFVLY-20260219153245

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 405850663
Report Date: 02/19/2026
Date Signed: 02/19/2026 04:25:56 PM

Document Has Been Signed on 02/19/2026 04:25 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:	OAK HILLS RESIDENTIAL CARE HOME		FACILITY NUMBER:	405850663
ADMINISTRATOR/ DIRECTOR:	CASTILLO, MARIBEL		FACILITY TYPE:	740
ADDRESS:	1023 SLEEPY HOLLOW		TELEPHONE:	(805) 296-7930
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY: 6		CENSUS: 0	DATE:	02/19/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Administrator - Maribel Castillo		TIME VISIT/ INSPECTION COMPLETED:	03:45 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	At 11:00am on February 19, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the scheduled time to conduct the facilities pre-licensing inspection. LPA met with Licensee/Administrator Maribel Castillo announced who he was and the reason for the visit. Additional Licensees/Administrators were present for the entire visit, Reymar Castillo and Janelyn Castaniaga. Licensees/Administrators and LPA conducted a physical tour of the facility. This facility is a two-story residential home. Only the first floor is licensed by Community Care Licensing. The second floor is for live-in staff use only, the two floors are connected by a main stairway with a gate at the bottom of the stairs to limit resident access to the second floor. Upon entering the facility there is a combined dining and living room space with piano and seating. Past the entry space is a full kitchen, additional dining space, and a family room with additional seating, TV and self-contained fireplace. Off the family room there is a pantry, locking medication storage cabinets, access to the laundry room and garage through locked doors for resident safety, a full shared bathroom and one of the private resident bedrooms. Down a hallway past the self-contained fireplace are five additional private resident bedrooms, one bedroom has an en suite full bathroom, the other four bedrooms have two full Jack and Jill style bathrooms connecting two rooms each. All six resident bedrooms have sliding glass doors giving access to the backyard. The front yard and backyard have seating and shade for residents and visitors to enjoy. There is sufficient indoor and outdoor space for activities and residents to wander. Near the kitchen LPA observed a complete first aide kit and a fire extinguisher, serviced on June 10, 2025, tagged current and in the green compression range. LPA noted that the facility hallways and doorways are free and clear of debris. (Continued on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Kelly Burley
NAME OF LICENSING PROGRAM ANALYST: Garrett Haner-Tomasko
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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)

Page: 2 of 3

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: OAK HILLS RESIDENTIAL CARE HOME	FACILITY NUMBER: 405850663
	VISIT DATE: 02/19/2026

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
26
27
28
29
30
31
32

LPA tested the hot water at 119.8*(f) within regulation of 105-120*(f). There is a function carbon monoxide detector in the hallway leading to the five resident bedrooms. There are wired smoke detectors in all resident bedrooms and hallways leading to resident bedrooms. Two of the smoke detectors audible alert are muffled, facility will replace these two.

During the tour of the facility the LPA noted the following physical plant issues that will need to be addressed prior to licensor. Interior: flooring in resident bedrooms #2 and #3 has multiple gaps between planks; the en suite bathroom and jack and jill bathroom between bedrooms #5 and #6 have wallpaper missing and severely peeling away from the wall; the other jack and jill bathroom needs a replacement toilet seat and has a circular dent in the wall approximately three inches in diameter that needs repaired; various light fixtures have light bulbs that are not functioning; multiple light fixtures and sliding glass door shades are covered in dust; an electrical outlet near the second dining room to the right of a the sliding glass door has no face plate; there are cobwebs and spiders throughout the facility. Outside: there is various debris in walking paths; the patio furniture is aging and rusting; three of the screen doors attached to the resident room glass doors are torn; and four fence boards are missing along the west fence line of the backyard. LPA also noted the facility emergency and disaster plan requires a few corrections.

Licensees/Administrators and LPA conducted a full review of the pre-licensing CARE tools and the Comp III training tools. These licensees have two other active licensed facility. LPA will have to return at a later date to observe the listed items before authorization of licensor is submitted for completion.

Exit interview conducted, report signed, and report provided to Maribel Castillo.

NAME OF LICENSING PROGRAM MANAGER: Kelly Burley
NAME OF LICENSING PROGRAM ANALYST: Garrett Haner-Tomasko
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

Page: 3 of 3