<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850107
Report Date: 03/19/2026
Date Signed: 03/19/2026 06:18:59 PM

Document Has Been Signed on 03/19/2026 06:18 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:LOVIES BOARD AND CAREFACILITY NUMBER:
565850107
ADMINISTRATOR/
DIRECTOR:		BONOAN, SOPHIAFACILITY TYPE:
740
ADDRESS:3125 MICHAEL DRIVETELEPHONE:
(805) 407-1378
CITY:NEWBURY PARKSTATE: CAZIP CODE:
91320
CAPACITY: 6CENSUS: 3DATE:
03/19/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Sophia BonoanTIME VISIT/
INSPECTION COMPLETED:
04:45 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 10:00 A.M., Licensing Program Analysts (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. The LPA met with caregiver, Maria Partida and explained the reason for the visit. Caregiver contacted the Administrator, Sophia Bonoan via telephone. At 10:40 A.M. the Administrator arrived at the facility. LPA explained the reason for the visit to the Administrator. At the time of the visit there was one (1) caregiver and three (3) residents. Entrance interview conducted.

At 10:42 A.M., the LPA, along with Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. Fire extinguishers are fully charged and recently purchased on 02/26/2026. Hard-wired smoke detectors and carbon monoxide detectors were tested at 10:52 A.M and were operational at the time of the visit. The facility is equipped with a fire-rated door designed to enhance safety and prevent the spread of fire. However, during the smoke alarm test, the fire-rated door separating the resident rooms and the hallway leading to the common areas did not function properly, as it failed to automatically activate and close.



KITCHEN: The LPA observed a locked cabinet beneath the sink containing knives and other sharp objects stored in a container. Cleaning supplies were also stored next to the container. These items were secured and inaccessible to residents in care. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:05 A.M., hot water measured at 113.4-degree Fahrenheit.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2026
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 8
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 8
Document Has Been Signed on 03/19/2026 06:18 PM - It Cannot Be Edited


Created By: Valeria Conway On 03/19/2026 at 01:37 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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87203
All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above as it was observed during test of the hard wired smoke detectors and combination smoke/carbon monoxide detectors that the fire rated door located between the resident rooms and the hallway leading to the common areas did not automatically activate which poses an immediate health, safety or personal rights risk to persons in care
POC Due Date: 03/20/2026
Plan of Correction
1
2
3
4
Administrator will contact Fire Marshall or a certified fire protection technicians to come an assess facility's fire door today. During todya's visit assessment was completed. Partial POC Cleared. Administrator will provide proof of completed repairs within 2 weeks of the scheduled appointment.Until repairs are completed Administrator agrees to keep the door closed at all times.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Desaree Perera
NAME OF LICENSING PROGRAM MANAGER:
Valeria Conway
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 03/19/2026 06:18 PM - It Cannot Be Edited


Created By: Valeria Conway On 03/19/2026 at 03:55 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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87465(h)(6)
87465 (h)(6) Incidental Medical and Dental Care (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
The Administrator did not comply with the regulation cited above by not ensuring LIC 622 medication record was properly filled out and used to document current resident’s medication which poses a poses a potential risk to the health and safety of residents in care.
POC Due Date: 04/03/2026
Plan of Correction
1
2
3
4
Administrator agrees to complete centrally stored medication records for each resident by 04/03/2026.
Type B
Section Cited
CCR
87412(a)
The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above as Staff #1 did not have a health screaning form and had other missing documents available for LPA review which poses a potential health, safety risk to persons in care.
POC Due Date: 04/03/2026
Plan of Correction
1
2
3
4
Administrator agrees to submit missing documets to LPA prior to POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Desaree Perera
NAME OF LICENSING PROGRAM MANAGER:
Valeria Conway
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 4 of 8
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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107
VISIT DATE: 03/19/2026
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
Continued from LIC 809

COMMON AREAS: Shared facility space includes a common living room, activity room, and dining area. The LPA observed common areas to be properly furnished and in good condition. The facility has a dual-sided fireplace, which LPA observed to be properly screened. Night lights were present in the hallways and passages. All exits have functioning auditory devices and were operational at the time of the visit. Medications and first aid kit are located in a locked hallway closet. LPA observed a working telephone on premises and all required postings on the facility wall. Additionally, the LPA observed clean linens and towels in the hallway closets.

BEDROOMS: The facility is a single-story residential home. The facility consists of 5 total bedrooms – four (4) are private resident rooms and one (1) is a shared resident room. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level.

BATHROOMS: There are two and a half (2 ½) bathrooms in the facility for resident use. Two (2) full bathrooms were observed to be equipped with slip-resistant surfaces and contain slip-resistant mats. Grab bars were observed in the all bathrooms. The water temperature was measured in all bathrooms and measured within the required range.

OUTDOOR SPACE: The LPA observed the back patio which has a covered outdoor area with patio furniture including a table and chairs for resident use. There are two gates on the side of the house designated for an emergency exit. The LPA observed a non-operable water fountain in the backyard, with no water present inside the fountain during today’s visit.

GARAGE: The garage is attached to the house and remains inaccessible to residents. The garage was locked and contained emergency disaster supplies such as food and emergency water, PPE, locked chemical storage, an extra refrigerator/freezer, washer and dryer.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107
VISIT DATE: 03/19/2026
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
Continued from LIC 809-C

RECORD REVIEW: Starting at 11:25 A.M., a file review for staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. The LPA reviewed records for five (5) staff including the Administrator. During the audit, the Administrator did not have all required documentation readily available for LPA review. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. LPA did not observe a current Needs and Service Plan for Resident #1 (R1). Technical Violation (TV) issued. All other files were in order. Administrator’s Certificate is valid until 03/29/2026.

MEDICATION REVIEW: Medications are centrally stored and locked in a hallway cabinet; medications are labeled and checked for expiration dates. At the time the medication audit was initiated, the LPA observed that the facility had a Centrally Stored Medication and Destruction Record (LIC 622) on file, however, the information contained within the document was outdated. According to the Administrator, they had been advised to rely on the Medication Administration Record (MAR). The Administrator requested assistance in completing the LIC 622 form. The LPA provided guidance on how to properly complete the form and also provided the Administrator with the TSP contact information and phone number for further support. Medications were observed to be administered as prescribed during today’s visit.

INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today’s visit, the LPA reviewed the facility’s infection control plan. The facility’s policies and procedures as it pertains to infection control are adequate. The LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and updated. The last emergency drill was conducted on 12/20/2025. A Technical Violation was issued for not conducting emergency drills during 2025 annual visit.

LPA provided the Administrator with the following contact information for TSP services. TSP email address TechnicalSupportProgram@dss.ca.gov and their phone number (916) 654-1549. Additionally, LPA advised the Administrator to review the Provider Information Notices (PINs) on CCLD's website (www.ccld.ca.gov) for further guidance and updates.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
Page: 6 of 8
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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107
VISIT DATE: 03/19/2026
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
LIC 809-C

During today’s visit, the LPA obtained a copy of the current liability insurance, Personnel Report (LIC500) and Resident roster.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 809-D.) A civil penalty was issued in the amount of $500 for fire safety issues. Administrator was informed that failure to correct the deficiencies may result in additional civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
Page: 7 of 8
Document Has Been Signed on 03/19/2026 06:18 PM - It Cannot Be Edited


Created By: Valeria Conway On 03/19/2026 at 04:36 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: LOVIES BOARD AND CARE
FACILITY NUMBER: 565850107

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1569.695(c)
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above as thier last drill was conducted on 12/2025 and interviewes revealed that staff did not remember to conduct an emergency drill prior to LPA's visit which poses a potential health, safety risk to persons in care.
POC Due Date: 04/03/2026
Plan of Correction
1
2
3
4
Administrator agreed to set up an alarm on their calendar and conduct drills every quarter as required. Also, a drill will be conducted and submitted to LPA before POC due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Desaree Perera
NAME OF LICENSING PROGRAM MANAGER:
Valeria Conway
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 8 of 8