365530560-7-8-2026-56-AS-MMAE-DVSTYA-20260708150824

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 365530560
Report Date: 07/08/2026
Date Signed: 07/08/2026 03:08:46 PM

Document Has Been Signed on 07/08/2026 03:08 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	WRIGHTWOOD CASTLE LUXURY ASSISTED LIVING		FACILITY NUMBER:	365530560
ADMINISTRATOR/ DIRECTOR:	GINOSYAN, LILIT		FACILITY TYPE:	740
ADDRESS:	790 CA-2		TELEPHONE:	(323) 573-4399
CITY:	WRIGHTWOOD	STATE: CA	ZIP CODE:	92397
CAPACITY: 6		CENSUS: 0	DATE:	07/08/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:35 PM
MET WITH:	Lilit Ginosyan		TIME VISIT/ INSPECTION COMPLETED:	03:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Magda Malcore conducted an announced Pre-Licensing visit and met with Administrator, Lilit Ginosyan. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Centralized Applications Bureau on May 15, 2026. A fire clearance was granted by the Hesperia Fire Department on May 27, 2026 for a total capacity of six (6) residents, of which one (1) may be non-ambulatory. LPA conducted an inspection of the premises and observed the following:

Physical Plant (Indoor/Outdoor): The facility consist of six (6) resident bedrooms, (7 1/2) bathrooms, a staff room/office, kitchen, dining areas, living room, library, lounge area, and detached garage. Indoor and outdoor passageways were free of obstructions. The above-ground spa is covered and secure. The facility is gated and there is adequate shaded activity space for resident activities. The facility is operating at a temperature of 75 degrees Fahrenheit (F). The facility is equipped with smoke/carbon monoxide detectors, fully charged fire extinguishers, emergency lights/water, first aid kit, covered fireplaces and window screens.

Bedrooms: Resident bedrooms were equipped with clean/covered mattresses, bed linen, chairs, nightstands, dressers, and lighting.

NAME OF LICENSING PROGRAM MANAGER: Karen Clemons
NAME OF LICENSING PROGRAM ANALYST: Magda Malcore
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WRIGHTWOOD CASTLE LUXURY ASSISTED LIVING	FACILITY NUMBER: 365530560
	VISIT DATE: 07/08/2026

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Bathrooms: Resident bathrooms were clean and equipped with operating bathroom equipment, grab rails, and non-skid mats. Hot water temperature measured at 110 degrees (F).

Food Service: Kitchen and dining areas were clean and clutter free. Clean cups, dishes, and utensils were observed in the kitchen. Food storage cabinets are large enough for a seven (7) day supply of non-perishable foods. Refrigerators and freezers are clean and large enough for at least two (2) days of perishable foods. Sharps, cleaning supplies, and other toxins are kept in a locked cabinet.

Medications: There is a designated locked cabinet were resident medications will be stored.

Records: There is a designated locked cabinet were resident and staff files will be stored.

Administration: emergency telephone numbers, personal rights, Theft & Loss policy, rights of resident council, resident personal rights, and licensing complaint information was posted in a common area.

The Prelicensing inspection and the Component III orientation are complete.

An exit interview was conducted where this report was discussed and a copy of was provided to the Administrator at the conclusion of the visit.

NAME OF LICENSING PROGRAM MANAGER: Karen Clemons
NAME OF LICENSING PROGRAM ANALYST: Magda Malcore
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

LIC809 (FAS) - (06/04)

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