197609303-10-18-2025-31-AS-TCAS-DMKMMZ-20251018094447

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197609303
Report Date: 10/18/2025
Date Signed: 10/18/2025 09:46:01 AM

COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/18/2025 09:46 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:	TWIN OAKS GUEST HOME LLC		FACILITY NUMBER:	197609303
ADMINISTRATOR/ DIRECTOR:	AKAHOSHI, TAMI		FACILITY TYPE:	740
ADDRESS:	3246 HONOLULU AVE		TELEPHONE:	(818) 249-3107
CITY:	LA CRESCENTA	STATE: CA	ZIP CODE:	91214
CAPACITY: 6		CENSUS: 0	DATE:	10/18/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Tami Akahoshi		TIME VISIT/ INSPECTION COMPLETED:	09:50 AM

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Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an annual inspection. Upon arrival, LPA observed that the property was no longer operating as a licensed facility. The premises were closed, with no staff or residents present. The property was locked; however, LPA was able to view the interior through the windows and observed that the building appeared vacant and under remodeling and construction.

LPA then observed an adjacent property located at the rear of the facility with the front door open. LPA approached and observed three individuals inside the back house. LPA spoke with a female individual, who confirmed that the front property had previously operated as a facility but was now closed and no longer in operation. The individual contacted the current property owner, Mark Yule, who spoke with LPA by phone.

Mr. Yule stated that he is the new owner of the property and intends to submit a new application to operate as a Residential Care Facility for the Elderly (RCFE). He reported that construction and remodeling are currently in progress and that his application is pending submission.

LPA also contacted the former Licensee/Administrator, Tami Akahosi, who confirmed that the facility is closed. Ms. Akahosi stated she has retired and does not wish to continue operating the facility. She further reported that the facility license remains posted at the property and that the new owner holds the keys to the premises. LPA will contact Mr. Yule to request that the facility license be mailed to Community Care Licensing.

At this time, the facility is closed and no longer operating as a licensed RCFE. A copy of this report will be emailed to the former Licensee for her records.

NAME OF LICENSING PROGRAM MANAGER: Naira Margaryan
NAME OF LICENSING PROGRAM ANALYST: Tuesday Cabiness
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2025

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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