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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209439
Report Date: 07/08/2025
Date Signed: 07/08/2025 12:36:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/27/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250627140650
FACILITY NAME:HAPPY LOVING HOME CARE LLCFACILITY NUMBER:
107209439
ADMINISTRATOR:CAMILO, WILJEN CORDEROFACILITY TYPE:
740
ADDRESS:2699 ALAMOS AVE.TELEPHONE:
(360) 305-2726
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:6CENSUS: 5DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator: Ron CamiloTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
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9
Staff left resident in soiled diapers for an extended period of time

Staff are not following physicians orders
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
On 7/8/25 at 12:00pm Licesnsing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit and to deliver findings.LPA was granted entry and met with Staff (S1) Gloria Zuniga. Administrator (A1) Ron Camilo was not present during visit, however LPA called (A1) to inform of the findings.

Based record reviews, observations, and interviews conducted, staff denied allegations. LPA checked medicatons and it appears that facility is following Physicians orders.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to S1 which confirms signature of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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