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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606437
Report Date: 01/28/2025
Date Signed: 01/28/2025 10:49:12 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/28/2025 10:49 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.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:CHATEAU ENCINO CARE, INC.FACILITY NUMBER:
197606437
ADMINISTRATOR/
DIRECTOR:		DANIEL BRAVOFACILITY TYPE:
740
ADDRESS:17732 ERWIN STREETTELEPHONE:
(818) 342-6388
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Daniel Bravo- LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda met with staff designee Daniel Bravo for an unannounced annual visit for this facility. LPA arrived at 10:00 AM, licensee informed LPA that they do not have any clients and refused to receive clients. The Licensee is no longer interested keeping the facility open and wishes to cease operation.

A tour of the physical plant was conducted with Licensee at 10:10 AM. The facility has seven (7) bedrooms and nine (9) bathrooms. Facility is currently not occupied by residents. Facility has been absent of residents since last relocated resident on 11.2023. LPA confirmed that there are no residents in the facility.

LPA collected the original license during the visit.

LPA confirmed mailing address. Community Care Licensing will be mailing an official closure letter.

LPA reminded the Licensee that if they should decide to reopen, then a new application with all the appropriate documents and fees shall be submitted to CCL. LPA informed Licensee that a license will need to be approved before operation.

LPA will send closure survey to Licensee by email to complete.

Exit interview conducted. A copy of this report provided to Licensee.

Nichelle GillyardTELEPHONE: (818) 596-4370
Leslie Ngo-CastanedaTELEPHONE: (818) 214-9900
DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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