<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 564700085
Report Date: 01/14/2026
Date Signed: 01/14/2026 11:54:58 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2025 and conducted by Evaluator Joshua Rarela
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20251229082945
FACILITY NAME:LOS ROBLES CAREGIVERS LLCFACILITY NUMBER:
564700085
ADMINISTRATOR:TREVOR O'NEILFACILITY TYPE:
300
ADDRESS:509 MARIN ST. STE 135TELEPHONE:
(805) 292-1100
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:CENSUS: DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Randon SenselyTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Home Care Aides administered medication to a client
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a Complaint Investigation. The EA met with the Home Care Organization (HCO) representative named above and discussed the allegation.

During the course of the investigation, EA interviewed HCO personnel and reviewed records including the California Department of Public Health (CDPH) License Database, HCO Guardian Database Records, Client Medical Consent Form, Home Care Aide (HCA) Registry Records, HCA Job Duty Statements, and HCA's Criminal Record Clearances.

It was alleged that Home Care Aides administered medication to a client.

(CONTINUED)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 47-HC-20251229082945
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: LOS ROBLES CAREGIVERS LLC
FACILITY NUMBER: 564700085
VISIT DATE: 01/14/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(CONTINUATION)

The investigation revealed that the HCO is also licensed by the California Department of Public Health (CDPH) as a Home Health Agency (HHA) and Hospice. The HCO provided documentation reflecting that the client named by the complainant was receiving services from the HHA and not from the Home Care Organization

Based on the EA's observations, interviews and records review, there was insufficient evidence to prove the allegation as the preponderance of evidence standard was not met although the allegation may have happened or is valid, therefore the allegation is found to be unsubstantiated. A copy of this report was provided via electronic mail.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2