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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850682
Report Date: 07/21/2026
Date Signed: 07/21/2026 06:13:38 PM

Document Has Been Signed on 07/21/2026 06:13 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:CARING HANDS OF THOUSAND OAKS INCFACILITY NUMBER:
565850682
ADMINISTRATOR/
DIRECTOR:		AGGARWAL, RASHITAFACILITY TYPE:
740
ADDRESS:1491 WARWICK AVENUETELEPHONE:
(570) 290-3407
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY: 6CENSUS: 3DATE:
07/21/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:05 AM
MET WITH:Eleanor Jimenez - Administrative Staff
Manju Natarajan - Administrative Staff		TIME VISIT/
INSPECTION COMPLETED:
06:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Erica Mosley conducted a case management - Deficiencies visit due to deficiencies observed during an initial visit on 07/21/2026. Upon arrival at 10:06 a.m. LPA was greeted by staff, explained the purpose of the visit and staff contacted the Administrator. The Administrator Dr. Rashita Aggarwal was unavailable and and Co-Administrators Eleanor Jimenez and Manju Natarajan arrived shortly after and the purpose of the visit was explained, and an entrance interview was conducted.
LPA was greeted by Staff #1 (S1) who is currently "pending" and not cleared. The staff has been working at the facility since 03/11/2026 which poses an immediate safety and personal rights risk to persons in care. At the time of the visit the LPA informed Administrative staff that S1 was not cleared and S1 was removed from the facility. During file review LPA discovered Staff #2 (S2) to be on the staff schedule and has been working at the facility since 06/09/2026 who is currently "pending" and not cleared which poses an immediate safety and personal rights risk to persons in care.
During the physical plant tour LPA discovered a furnished bed and night stand to be set up in the garage. During both the pre-licensing and post-licensing visit the facility was informed that the fire clearance states that "Garage rooms shall not be used for sleeping rooms". At the time of the visit the Administrative staff took apart the bed frame, flipped the mattress and stated that staff do not sleep in the garage and noted that it "gets too hot for staff to sleep in the garage."
LPA explained that fire clearance violation and criminal record clearance are a zero-tolerance violation and an immediate civil penalty in the amount of $1,500 will be assessed on today’s date 07/21/2026. LPA informed Administrative staff that failure to adhere to the requirements of their fire clearance may result in the assessment of additional civil penalties. The Administrative staff were made aware that failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.
Kasandra Lopez
Erica Mosley
DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2026
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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Document Has Been Signed on 07/21/2026 06:13 PM - It Cannot Be Edited


Created By: Erica Mosley On 07/21/2026 at 03:39 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: CARING HANDS OF THOUSAND OAKS INC
FACILITY NUMBER: 565850682

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/22/2026
Section Cited
CCR
87355(e)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
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At the time of the visit S1 was removed from the property. S2 will not return. Both staff will not return and have been removed from the staff schedule until staff are cleared. Administrative staff will submit a Statement of understanding to LPA by POC due date confirming they will
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as Staff #1 (S1) & Staff #2 (S2) were not cleared and were working at the facility which poses an immediate safety risk to persons in care.
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ensure staff are cleared prior to working at the facility.
Type A
07/22/2026
Section Cited
CCR87202(a)

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(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, ... This requirement is not met as evidenced by:
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At the time of the visit the Administrative staff took apart the bed framed, flipped the mattress and stated that staff do not sleep in the garage Administrative staff will submit a statement of understanding to CCL by POC due date
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Based on observation LPA discovered a furnished bed and night stand to be set up in the garage. During both the pre- post- visit the facility was informed that the fire clearance states "Garage rooms shall not be used for sleeping rooms"which poses an immediate safety risk to persons in care.
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confirming they will not have staff sleeping in the garage as stated in their fire clearance.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Kasandra Lopez
NAME OF LICENSING PROGRAM MANAGER:
Erica Mosley
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2026


LIC809 (FAS) - (06/04)
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