565801508-1-21-2026-29-AS-DPEA-DQS2T4-20260128164006

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801508
Report Date: 01/21/2026
Date Signed: 01/21/2026 02:06:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
12/19/2025 and conducted by Evaluator Valeria Conway

COMPLAINT CONTROL NUMBER: 29-AS-20251219104145

FACILITY NAME:	EDNA'S RESIDENTIAL CARE I		FACILITY NUMBER:	565801508
ADMINISTRATOR:	EDNA DANGIAPO		FACILITY TYPE:	740
ADDRESS:	3868 SENAN STREET		TELEPHONE:	(805) 278-2035
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93010
CAPACITY:	6	CENSUS: 4	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	07:07 AM
MET WITH:	Edna Dangiapo		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Licensee is not ensuring that facility maintains a comfortable temperature for residents is care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Valeria Conway arrived at 7:07 A.M. to conducted an unannounced subsequent complaint visit regarding the above noted allegation and to deliver findings. When the LPA arrived, there were two (2) staff members and four (4) residents present. The LPA was greeted by Caregiver, Nikki Villanueva. LPA informed the reason for the visit. Caregiver contacted the Administrator by phone, Edna Dangiapo. At 7:30 A.M. Administrator arrived at the facility. Entrance Interview conducted.

During initial visit, the LPA conducted a physical plant tour and conducted interviews with the back-up administrator, administrator and Resident #1 (R1).

During today's visit, a brief physical plant tour was conducted, and room temperatures were checked in randomly selected resident rooms and common areas. The following was observed.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

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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Control Number 29-AS-20251219104145

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: EDNA'S RESIDENTIAL CARE I	FACILITY NUMBER: 565801508
	VISIT DATE: 01/21/2026

NARRATIVE

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Continued from LIC 9099

Regarding allegation “Licensee is not ensuring that facility maintains a comfortable temperature for residents is care.” It was alleged that the Licensee/Administrator does not turn on the central heater system at night, resulting in residents sleeping in cold conditions. Interviews were conducted with the Administrator, back-up administrator, and staff, all of whom denied any issues related to room temperatures. LPA attempted to interview all residents in care. Two (2) residents were unable to effectively communicate due to loss of level of cognitive abilities, one (1) resident declined to be interviewed, and one resident reported that their room, located in the back of the house, can become cold during the night. During unannounced visits, LPA conducted a physical plant tour of the facility. The tour revealed that the central heating system was not functioning properly in the back portion of the house. However, space heaters were provided in each bedroom located in that area. Throughout the investigation, the LPA measured room temperatures in four (4) randomly selected resident rooms and two common areas; one room measured 67 degrees Fahrenheit, while the remaining recorded temperatures ranged from 68 - 70 degrees Fahrenheit. Based on the above information gathered, including interviews, observations and temperature measurements, although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Licensee is not ensuring that facility maintains a comfortable temperature for residents is care.” is deemed unsubstantiated at this time.

Exit interview conducted and a copy of this report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Valeria Conway
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

LIC9099 (FAS) - (06/04)

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