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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606270
Report Date: 12/06/2025
Date Signed: 12/06/2025 11:57:31 AM

Document Has Been Signed on 12/06/2025 11:57 AM - 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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:DENOGEAN ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
197606270
ADMINISTRATOR/
DIRECTOR:		RICHARD W. DENOGEANFACILITY TYPE:
735
ADDRESS:10712 ARTRUDE STREETTELEPHONE:
(818) 353-8214
CITY:SHADOW HILLSSTATE: CAZIP CODE:
91040
CAPACITY: 4CENSUS: 4DATE:
12/06/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:06 AM
MET WITH:Richard Denogean - AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Jose Tan conducted an unannounced Required one (1) year visit at this facility and met by Administrator Richard Denogean. LPA explained the reason for the visit. This is a North Los Angeles Regional Center vendored facility level 5 (formerly 4-G). The facility is fire cleared for four (4) non-ambulatory residents.

At around 9:20 AM LPA and the Administrator toured the facility inside and out and the following was observed.

This facility consist of the main house area and the client living area. These two areas are connected by the staff member's bedroom which leads to the kitchen area of the main house. The client's living area consist of two (2) shared bedrooms, one (1) bathroom, mini kitchen and a common area. LPA observed that the client's living area is accessible through four separate entryways which have ramps and free from obstructions.

Kitchens: The main area kitchen where clients meals are prepared was observed to be clean and appliances were clean and functional. There is a sufficient amount of food in stock both perishable and non-perishable. LPA observed knives kept in a locked cabinet. The client kitchen has a refrigerator. Trash bins in both areas had covered lids. Common Areas: The facility has two (2) living rooms available for client use. Both living rooms were clean and properly furnished.

Bathrooms: There is one (1) bathroom designated for clients' use. Hot water temperature was measured at 110.6°F. Bathroom is designed for non-ambulatory clients with grab bars and non-skid floor.
NAME OF LICENSING PROGRAM MANAGER: Troy Agard
NAME OF LICENSING PROGRAM ANALYST: Jose Gary Tan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2025
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 S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DENOGEAN ADULT RESIDENTIAL FACILITY
FACILITY NUMBER: 197606270
VISIT DATE: 12/06/2025
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Bedrooms: There are two (2) bedrooms designated for clients' use. There is an overhead lift to assist the staff moving the clients to and from bed. The rooms were appropriately furnished and had proper bedding.

Surrounding grounds: The front yard is well manicured and landscaped. There are ramps available for client use to access the house. The backyard is extensive and includes a patio with available shade for clients to enjoy. There is no body of water in the facility. The facility is equipped with generator set and has a toolshed which was observed to be locked during visit.

Fire extinguishers are located in the clients' area and in the kitchen of the main house. The fire extinguishers are last inspected on 03/13/25. Smoke alarms are hardwired and interconnected and there is a carbon monoxide alarm installed at the facility. Both alarms were tested and observed to be operational. The facility temperature was set at a comfortable 72°F.

Staff and Clents' Records: All four (4) clients' record were reviewed and observed to be complete and updated. Staff records were also reviewed and observed to be complete and updated.

Medications: Medications are kept locked in the kitchen of the clients' area. Medication records were reviewed for proper documentation. The first aid kit was complete and easily available located in the main house by the office.

Disaster drill was last conducted on 10/31/25. Required posting observed in facility (complaint hot line poster, personal rights, etc). There was no health and safety hazard observed during the day of inspection.

Exit interview conducted and copy of this report issued.

NAME OF LICENSING PROGRAM MANAGER: Troy Agard
NAME OF LICENSING PROGRAM ANALYST: Jose Gary Tan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2025
LIC809 (FAS) - (06/04)
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