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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565850260
Report Date: 10/16/2025
Date Signed: 10/16/2025 04:25:19 PM

Document Has Been Signed on 10/16/2025 04:25 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:BEST OF CARE HOMES, INC.FACILITY NUMBER:
565850260
ADMINISTRATOR/
DIRECTOR:		JULIE ANN ARCENASFACILITY TYPE:
735
ADDRESS:1742 EUCLID AVENUETELEPHONE:
(805) 758-3474
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 4CENSUS: 4DATE:
10/16/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:13 AM
MET WITH:Julie Ann ArcenasTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct an annual visit. LPA arrived at 09:07 A.M. and initially met with Licensee Oskar Arcenas. At 9:09 A.M. Administrator, Julie Ann Arcenas was contacted and arrived at the facility at approximately 9:17 A.M. Entrance interview conducted.

Beginning at 9:27 A.M., the LPA along with facility Licensee and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

The facility is vendored through Tri-Counties Regional Center as a Level 3 home. Fire extinguishers are fully charged and last serviced on 10/15/2025. Hardwired combination smoke detectors and carbon monoxide were tested at 9:52 A.M. and were functional at the time of the visit. No fire clearance concerns were observed. This facility doesn’t have a staff room; facility will provide 24/7 care.

Bedrooms: There are four (4) total bedrooms in the facility, they are private client bedrooms. All bedrooms were observed and appeared clean, with appropriate linens and furnishings. LPA observed a sufficient supply of linen in the hallway closet.

Bathrooms: LPA observed all 2 and 1/2 bathrooms were clean, properly supplied and had functional fixtures. LPA observed all bathrooms to have slip-resistant mats. Clients have sufficient amounts of supplies for personal hygiene. Water temperature was measured in all client restrooms and measured within the required range.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025
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
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: BEST OF CARE HOMES, INC.
FACILITY NUMBER: 565850260
VISIT DATE: 10/16/2025
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Continued from LIC 809

Common Areas: These included the dining area and living room. The common areas were checked for cleanliness. At the time of the visit, walls, flooring, and furniture were observed to be in good condition. A fireplace, which was properly screened, was observed in the living room. LPA observed cameras in the common areas and a Ring doorbell at the main entrance, per licensee, the audio streaming and recording is turned off. A complete first aid kit was located in a closet next to the main entrance. There is a functioning telephone on the premises.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and sharp objects are stored locked in under-sink cabinets. At 10:02 A.M., hot water was measured at 114.5 degrees Fahrenheit.

Laundry Area: There is a laundry area available for client use. Cleaning supplies were stored in cabinets above washer and dryer and inaccessible to residents in care at this time. All cleaning compounds were stored in areas separately from food supplies.

Surrounding Grounds (Outdoors): There was a shaded area with proper furniture for outdoor use and sufficient room for activities. There are no bodies of water on the premises. Three (3) outdoor sheds were observed to be locked and storing tools and extra supplies. There is a gate on each side of the facility with a self-latching mechanism for people to easily exit the property in the event of an emergency. The exterior passageways were clean and clear of any obstructions.

Garage: Garage was observed unlocked and contained extra food, staff area, emergency food and water.

Record Review: Record review began at 10:45 A.M. Staff and client records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, client physician's report, needs and service appraisal, IPPs and personal rights. Five (5) staff files and all four (4) client files observed were in compliance with regulation.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: BEST OF CARE HOMES, INC.
FACILITY NUMBER: 565850260
VISIT DATE: 10/16/2025
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Continued from LIC 809-C

Medication Review: Medication review began at 12:15 A.M. Medications for all four (4) clients were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. Facility properly documents medication on the Centrally Store Medication and Destruction log.

Cash resources: During today's visit, the LPA reviewed the client cash resource ledgers for three (3) clients. Records were observed to be accurate, complete and properly documented. It was also noted that Client #1's (C1's) Personal and Incidental (P&I) funds are monitored and managed by their conservator. Surety Bond in the amount of $2,000 is valid and will expire on June 6th 2026.

Last emergency drill was conducted on 09/20/2025.

No citations given at this time. Exit interview conducted and report issued to the Administrator.

NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Valeria Conway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC809 (FAS) - (06/04)
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