405850742-4-23-2026-29-AS-GHTO-DTEVVL-20260423164630

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 405850742
Report Date: 04/23/2026
Date Signed: 04/23/2026 04:46:39 PM

Document Has Been Signed on 04/23/2026 04:46 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:	ALL SEASONS CARE II		FACILITY NUMBER:	405850742
ADMINISTRATOR/ DIRECTOR:	ESTOQUE, ANALYN M		FACILITY TYPE:	740
ADDRESS:	411 APPALOOSA DRIVE		TELEPHONE:	(805) 286-4377
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY: 6		CENSUS: 0	DATE:	04/23/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Licensee- Analyn Estoque		TIME VISIT/ INSPECTION COMPLETED:	05:00 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 1:30 pm on 4/23/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the scheduled time to conduct the facilities pre-licensing inspection. LPA met with Licensee/Administrator Analyn Estoque announced who he is and the reason for the visit. Licensee and LPA conducted a full tour of the facility. This facility is a single story residential home with six resident bedrooms and five full bathrooms (three are en-suite and two for shared/public use). LPA noted upon entering the front door, the facility has a small lobby with administrative office. Beyond the lobby is a central great room containing a living room with seating and TV for residents and visitors. The living room also has a fireplace with protective barrier for resident safety. Off the living room is a wheelchair ramp leading to bedroom #1 and from there resident bedroom #2 is up two steps and designated by fire clearance as ambulatory only. Also off the living room up another wheelchair accessible ramp or three steps gives access to the other four resident bedrooms, two public bathrooms, a dining room, and the kitchen. LPA noted bedrooms #1, and 3-6 also have exterior doors leading to the backyard. All bedrooms have required furnishings and lighting. Access to the laundry area and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. There is also a locked storage shed in the backyard. The facility has battery operated smoke detectors in each bedroom that are all working, the carbon monoxide detector is in the living room and functioning normally. LPA observed a fire extinguisher near the living room that was tagged current and in the green compression range, serviced on 2/16/2026. LPA noted two tank water heaters deliver water to the faucets in this facility, LPA tested facility hot water at 113.5 and 118.6°F, within regulation temperatures 105-120°F. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. A locking cabinet for medication and record storage is in the dining room. The facility has a full first aid kit and new sharps container. (Continued on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Kelly Burley
NAME OF LICENSING PROGRAM ANALYST: Garrett Haner-Tomasko
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026

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: ALL SEASONS CARE II	FACILITY NUMBER: 405850742
	VISIT DATE: 04/23/2026

NARRATIVE

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LPA noted during the tour most exterior exit doors and the perimeter gates do not have audible devices to monitor them and this licensee plans to accept/retain residents diagnosed with dementia. Outside the front door is a concrete ramp to the driveway beyond the ramp the concrete slab drops off into landscaping approximately six inches, LPA requested a barrier be placed so residents do not fall into the landscaping. The ramp leading to bedrooms #1 and 2 needs to be adjusted and a hand rail put in place for resident safety. A metal ramp outside the exterior exit off bedroom #6 is not permanent making it unsteady. The exterior door off of bedroom #3 is difficult to open and close. Licensee states they will add a lock to the exterior water heater door. The lock on the cabinet under the kitchen sink for chemical storage does not fully secure the chemicals allowing a person to reach in and grab items inside the cabinet. Many of the door thresholds are raised approximately 1.5 inches creating tripping hazards, Licensee states they will try to find a solution. LPA will have to return at a later date to observe the above items corrected before this facility can be licensed.

Licensee and LPA conducted a full review of the pre-licensing care tools. Licensee and LPA conducted a review of the Comp III training tools for review as this licensee has one active licensed facility.

Exit interview conducted, report read, and report provided to the Licensee.

NAME OF LICENSING PROGRAM MANAGER: Kelly Burley
NAME OF LICENSING PROGRAM ANALYST: Garrett Haner-Tomasko
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026

LIC809 (FAS) - (06/04)

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