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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801637
Report Date: 11/25/2025
Date Signed: 11/25/2025 01:02:37 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
11/21/2025 and conducted by Evaluator Emily Peraldi
COMPLAINT CONTROL NUMBER: 29-AS-20251121163215
FACILITY NAME:VETERANS HOME OF CALIFORNIA-VENTURAFACILITY NUMBER:
565801637
ADMINISTRATOR:RAY SENAFACILITY TYPE:
740
ADDRESS:10900 TELEPHONE ROADTELEPHONE:
(805) 659-7501
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:60CENSUS: 52DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
10:44 AM
MET WITH:Ray SenaTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff did not address an ongoing rodent issue in the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 10:44 a.m., the LPA met with staff and explained the reason for the visit. At 10:49 a.m., Administrator Ray Sena met with the LPA.

At 10:50 a.m., the LPA conducted an interview with the Administrator. At 11:00 a.m., the LPA requested and obtained copies of pertinent documents. Between 11:14 a.m. and 11:49 a.m., the LPA, along with the Administrator conducted a physical plant tour. Starting at 11:24 a.m., the LPA conducted interviews with five (5) staff.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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-20251121163215
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: VETERANS HOME OF CALIFORNIA-VENTURA
FACILITY NUMBER: 565801637
VISIT DATE: 11/25/2025
NARRATIVE
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Regarding the allegation: Staff did not address an ongoing rodent issue in the facility. The complainant’s concern is that the ongoing rodent issue in the kitchen is due to the kitchen and food storage area not being properly cleaned or monitored. Interviews conducted with the Administrator and kitchen staff revealed that a rodent was observed and caught inside a rodent trap around November 23rd. The interview conducted with the Administrator revealed that EagleShield Pest Control company conducts monthly pest control and that additional rodent control services were initiated as soon as the rodent issue was identified. The Administrator explained that a rodent inspection was done on November 14th and November 19th in which the inspector set up traps inside of the kitchen storage room. The Administrator stated that the pest control company is scheduled again to do a follow up rodent inspection on December 1st. Record review conducted confirmed that the facility has been receiving monthly pest control services from EagleShield Pest Control and an additional rodent control service. The Administrator provided copies of invoices/ receipts for the monthly pest control for July 2025, August 2025, September 2025, October 2025 and rodent inspections for November 14 and November 19. Interviews with kitchen staff revealed that part of their daily / cleaning tasks are to check all areas of the kitchen and food storage areas for rodent droppings. Kitchen staff interviewed indicated that if they do see rodent droppings, they report it to their supervisor and clean the area immediately. During today’s visit, the LPA observed rodent boxes and traps set in place inside the food storage area. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation, as the Administrator and facility staff have consistently taken corrective measures to ensure that the rodent issue is addressed and eliminated. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Emily Peraldi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2