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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850405
Report Date: 08/22/2025
Date Signed: 08/22/2025 01:07:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250818145510
FACILITY NAME:HAPPY HOME VILLAFACILITY NUMBER:
565850405
ADMINISTRATOR:ARCENAS, OSKARFACILITY TYPE:
740
ADDRESS:2281 YOSEMITE AVETELEPHONE:
(909) 583-5950
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:4CENSUS: 4DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Oskar ArcenasTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff does not ensure facility is free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Martha Arroyo conducted an initial complaint investigation visit for the above allegation. Upon arrival, there were three (3) staff and three (3) residents present. The LPA was greeted by staff who then contacted the Administrator via telephone. The Administrator, Oskar Arcenas arrived at aproximately 10:25 a.m. and at this time the reason for the visit was explained. Entrance interview.

During today's visit, between 09:46 a.m. and 11:30 a.m., the LPA conducted a plant tour, conducted a resident file review, interviewed three staff and two residents and attempted to interview another resident, and obtained copies of pertinent documents relevant to the investigation.

Report Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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 29-AS-20250818145510
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: HAPPY HOME VILLA
FACILITY NUMBER: 565850405
VISIT DATE: 08/22/2025
NARRATIVE
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Report Continued from LIC 9099...

It was alleged that staff does not ensure facility is free of pests. It was reported that multiple cockroaches have been observed inside the facility. During the facility walkthrough, the LPA observed resident bedrooms, the kitchen, and common areas, including the dining and living rooms. The LPA also reviewed resident binders while conducting a file review. At this time, no cockroaches or other pests were observed inside the facility. Record review and interviews revealed that the facility has contracted Dewey Pest Control to manage all pest control needs. The company recently conducted a treatment to ensure the facility remains pest-free. Staff interviews confirmed that a concern regarding pests had been reported to facility staff, who addressed the issue promptly by contracting a professional pest control service. Staff also mentioned that bug spray is used as a preventative measure to deter future pest activity. Resident interviews revealed that no bugs have been observed. Furthermore, two out of two residents reported no concerns regarding cockroaches or any other pests within the facility. Although the allegation may have happened or is valid, information obtained through record review and interviews, the facility immediately addressed and is continuously making an effort to keep the facility free from pests. Therefore, the allegation of “staff does not ensure facility is free of pests” is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2