Chateau of Oaks

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 9:37AM. The LPA met with the Licensee Rolando Lazatin. Entrance interview conducted. Beginning at 9:43AM, the LPA and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. A fireplace was observed to be properly screened and inoperable. Required postings were located above the fireplace. The facility maintained a comfortable temperature throughout the visit. Night lights and exit signs were observed throughout the facility. GARAGE: The facility’s garage contained general storage, extra facility supplies, a refrigerator with extra food, emergency water, and laundry machines. The laundry machines were observed to be in good condition and had locked cabinets above that contained detergent and cleaning supplies. The garage remained inaccessible to residents. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There were five (5) total bedrooms: four (4) private resident bedrooms and one (1) shared resident bedroom. Bedroom #5 had a direct exit to the outside. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a dresser located in the hallway. There were three (3) total restrooms in the facility, each shared. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap and paper products. Sink cabinets were locked and contained hygiene products. Hot water was tested and measured between 109 degrees F and 112.8 degrees F. OUTDOOR AREA: The surrounding grounds had one (1) shaded patio area equipped with furniture in good condition for resident and visitor use. The LPA observed three (3) locked sheds in the backyard that contained general storage. There were (2) emergency side exits with a self-latching mechanism that led to the front yard. The front yard had a driveway with a manual gate and a regular gate door for everyday use. All exits and passageways were free of obstruction. KITCHEN: The LPA observed knives stored inaccessible in a locked drawer. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Medications and files were stored in a locked cabinet near the refrigerator. Two (2) fire extinguishers were observed and purchased on 06/26/2026. RECORDS: Record review began at 10:06AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. Resident #1 (R1)’s physician’s report dated 04/03/2026 did not document their diagnoses and was noted as “see attached,” with no attachment. The Licensee confirmed there were no attachments. The Licensee contacted R1’s physician and was unsuccessful in obtaining the complete record. Resident #2 (R2) did not have consent forms on file. Report Continued on LIC 809-C Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Review of staff’s annual training revealed that they were not given the required twenty (20) hours of annual training, as they lacked the eight (8) hours of general training topics. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. The emergency disaster plan has not been updated since 09/04/2020 as answers to the plan pertained to COVID-19 and did not accurately address the emergency preparedness. Emergency disaster drills are conducted monthly, with the last documented drill on 08/03/2026. Smoke and carbon monoxide detectors were tested at 11:08AM and were operational. MEDICATIONS: Medication review began at 11:16AM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. Medications for Resident #3 (R3) were observed to have differing counts. The Licensee and staff reported that R3 is often hospitalized or refuses their medications, but do not document the occurrences. Pursuant to Title 22 CA Code of Regulations and/or Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.the state’s words, verbatim · CDSS document, Aug 5, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced Case Management visit at 1:43PM. The LPA met with staff and explained the reason for the visit. The Licensee Rolando Lazatin arrived at 2:31PM. Entrance interview conducted. Beginning at 1:50PM, the LPA conducted a physical plant tour with staff. On 07/27/2006, the facility was granted a fire clearance for a total of five (5) non-ambulatory residents. The floor plan indicated Bedroom #1 was a staff room and Bedrooms #2, #3, and #4 were resident bedrooms. Currently, the facility has a total of six (6) bedrooms. Bedroom #1 is utilized as a resident bedroom and Bedroom #4 was split into two (2) bedrooms with a built-in wall. The Licensee stated a building permit was not needed and did not have documentation. Staff confirmed that the new staff room was a previous hallway walk-in closet. Further record review revealed that on 06/28/2019, the facility had six (6) residents, however, it was only cleared for a capacity of five (5). On 08/07/2024, LPA Sandra Urena and Erica Mosley conducted an annual visit and observed the facility’s floor plan did not reflect what was on file with the Department. The facility was cited with a plan of correction to provide the Department with an updated floor plan and obtain a new fire clearance. The plan of correction was not met as a new fire clearance was not obtained. Report Continued on LIC 809-C On 08/05/2025, LPA Huynh conducted an annual visit and inquired about the fire clearance to which the Licensee stated they contacted the city for clearance the prior year and an inspection was conducted. The facility had corrections and provided them to the Inspector who allegedly provided verbal confirmation that the inspection was passed. However, no documentation of the inspection was provided. The LPA advised the Licensee to contact the city and obtain a new fire clearance. On 08/11/2025, the Department provided the city with a Fire Safety Inspection Request. On 02/27/2026, LPA Huynh contacted the city Inspector who stated that the last inspection was conducted on 08/30/2024 and was closed due to inactivity. On 03/09/2026, LPA Huynh contacted the Licensee via email requesting an update on the fire clearance and did not receive a response. During today’s visit, the Licensee stated that after the visit on 08/05/2025, they contacted the city and did no further follow up. The Licensee provided confirmation of a Pre-Inspection/Consultation Request dated 04/01/2026, however an inspection date has not been scheduled. The LPA also discussed reporting requirements and provided the Regional Office’s email to ensure all Incident Reports were received. An immediate civil penalty in the amount of $500 was assessed for a violation of the facility’s fire clearance. The Licensee was advised that failure to correct may result in additional civil penalties and the Licensee understood. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.the state’s words, verbatim · CDSS document, Apr 8, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Apr 9, 2026

(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, or the State Fire Marshal... This requirement was not met as evidenced by: Based on observation, interview, and record review, the Licensee did not comply with the above cited section in the facility's fire clearance was not maintained which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 8, 2026

Plan of correction: The Licensee will provide an updated LIC 200, facility sketch, and confirmation of the scheduled pre-inspection to CCLD by the POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 9:07AM. The LPA met with the Licensee Rolando Lazatin, who arrived at 10:00AM. Entrance interview conducted. Beginning at 10:07AM, the LPA and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The facility is a single-story residential home. The following was observed: KITCHEN: The LPA observed knives stored inaccessible in a locked drawer. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Medications and files were stored in a locked cabinet near the refrigerator. One (1) fire extinguisher was observed and purchased on 07/29/2025. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. A fireplace was observed to be properly screened and inoperable. Required postings were located above the fireplace. The facility maintained a comfortable temperature throughout the visit. Night lights and exit signs were observed throughout the facility. Report Continued on LIC 809-C GARAGE: The facility’s garage contained general storage, extra facility supplies, a refrigerator with extra food, emergency water, and laundry machines. The laundry machines were observed to be in good condition and had locked cabinets above that contained detergent and cleaning supplies. The garage remained inaccessible to residents. BEDROOMS/RESTROOMS: There were five (5) total bedrooms: three (3) private resident bedrooms, one (1) shared resident bedroom, and one (1) staff room. Bedroom #5 had a direct exit to the outside. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a dresser located in the hallway and in resident bedrooms. There were three (3) total restrooms in the facility: two (2) shared common restrooms located in the hallways and one (1) private restroom attached to Bedroom #3. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap and paper products. Sink cabinets were locked and contained hygiene products. Hot water was tested and measured between 105.8 degrees F and 108.5 degrees F, which is within the required range per regulation. OUTDOOR AREA: The surrounding grounds had one (1) shaded patio area equipped with furniture in good condition for resident and visitor use. The LPA observed three (3) locked sheds in the backyard that contained general storage. There was one (1) emergency exit located on one side of the facility with a self-latching mechanism that led to the front yard. The front yard had a driveway with a manual gate and a regular gate door for everyday use. All exits and passageways were free of obstruction. RECORDS: Record review began at 10:34AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. The emergency disaster plan was observed to be complete and reviewed annually as required. The Licensee was unable to locate the infection control plan at this time. Emergency disaster drills are conducted monthly, with the last documented drill on 07/23/2025. Smoke and carbon monoxide detectors were tested at 10:31AM and were operational. MEDICATIONS: Medication review began at 1:03PM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for three (3) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. Three (3) out of three (3) residents were prescribed PRN (as needed) medications. The facility staff administered PRN medications to residents everyday with no documentation of the administration. Resident #1 (R1) was prescribed one (1) PRN medication: Docusate Sodium. Resident #2 (R2) was prescribed three (3) PRN medications: Amlodipine Besylate, AllerClear, and Tylenol. Resident #3 (R3) was prescribed two (2) PRN medications: Midodrine HCL and Acetaminophen. R1 had a PRN Authorization Letter dated 08/21/2017 for Magnesium Hydroxide, which R1 was no longer prescribed. The Licensee did not obtain PRN Authorization Letters for R2 and R3. The Licensee plans to contact Physicians and the Pharmacy to clarify the PRN medications and obtain Authorization Letters. Pursuant to Title 22 CA Code of Regulations and/or Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the Appeal Rights and report was reviewed and provided.the state’s words, verbatim · CDSS document, Aug 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Sandra Urena and Erica Mosley arrived at the facility unannounced to conduct a required annual inspection at 10:00 a.m. LPAs were greeted by staff. The Administrator Rolando Lazatin arrived shortly thereafter, and the LPAs explained the reason for the visit. At 10:20 a.m., LPAs, staff and the administrator conducted a tour inside, and outside the facility to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives are stored in a locked cabinet drawer. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. Freezer and refrigerator are stocked with a variety of foods. Emergency food supply is adequate for six residents and two staff. Toxic materials are locked, and out of reach of residents. Upon inspection, at 10:28 a.m., LPAs noticed a box with medications sitting in an area between the living room and kitchen area, and accessible to residents in care. Additionally, LPAs observed three small lighters in a kitchen drawer accessible to residents in care. Water temperature was withing regulation limits. BEDROOMS: Five bedrooms were observed to be furnished appropriately with appropriate furnishings and sufficient lighting. Linens are clean and in good condition. Extra linens were observed in the hallway cabinet. COMMON AREAS: The common seating area, and dining room furniture was observed to be clean and in good condition. Fire extinguisher was observed to be purchased on 07/23/2024. The walls and flooring were observed to be clean and in good condition. Continues on LIC 809C… BATHROOM: Bathrooms were observed to be clean; shower area was in clean condition with grab bars, and a non-skid mat available. Hand washing signs were displayed, and enough soap, and paper products in each restroom. Water temperature was withing regulation limits. OUTDOOR: Backyard has a patio area and has patio shade umbrella and patio furniture for residents’ use. No open bodies of water were noted. RECORDS: Records review began at 11:22 a.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, and consent forms. Two out of three residents’ records were missing an updated appraisal assessment. Two residents’ files were not available for review, licensee stated that the files were damaged by water and licensee was in the process of creating new files. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate annual training. Four out of four files were missing the annual mandated 20-hour training. MEDICATIONS: Medications review began at 1:06 p.m.; medications are centrally stored and locked in a cabinet in the kitchen area; medications are labeled and checked for expiration dates. Medications are properly documented in the centrally stored medications and destruction record. No errors were observed during the medication review. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The LPA obtained the following documents: - LIC500 Personnel Report Deficiencies were cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Aug 7, 2024