Happy Loving Home Care

Type of visit: Required - 1 Year

On 6/16/26 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Rulet Salgado, LPA was granted entry. 5 residents were present during inspection. Administrator (A1) Ron Camilo was not present during visit as him and Licensee (L1) Wilgen Camilo were on vacation. LPA toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were checked and observed locked in kitchen cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a purchase date of: 11/17/25. Fire drill completed on 4/14/26. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in closet. Resident’s bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 118.5 to 117.6 degrees in 2 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. All clients’ files and staff’s files reviewed to have all the required documents. No deficiencies issued during today's inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 6/30/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report was provided to S1, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Jun 16, 2026

Type of visit: Case Management - Deficiencies

On 5/28/26, Licensing Program Analyst (LPA) J. Leffall conducted a case management visit to follow up and confirm details of an incident report that was received by the Department. The incident occurred in which R1’s medication of Famotidine officially ran out on 5/18/26. To date, the medication has not refilled. LPA met with Staff (S1) Irish Lobos. Administrator will discuss with LPA plan that is in place that will prevent residents from running out of medications in the future. The following deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. A copy of this report with Appeal Rights issued to Staff whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, May 28, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: May 29, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 resident's medication Famotidine ran out and has not been replaced which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 28, 2026

Plan of correction: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.

Allegation investigated: Staff does not ensure facility has adequate hygiene supplies for residents in care

On 5/7/26 at 1:00 pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Licensee (L1) Ron and Wiljen Camilo. The Department conducted interviews with staff and observed hygeine items. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 7, 2026 · control 24-AS-20260505115207

Type of visit: Case Management - Deficiencies

On 4/15/26 at 12:00pm Licensing Program Analyst (LPA) J. Leffall conducted a case management regarding an Incident report received by the Department. LPA met with Licensee (L1) Ron Camilo and stated purpose of visit. The department conducted interviews and reviewed records. Based on an incident report received by CCLD on 3/30/26 the Staff (S1) yelled over resident while on duty on 10/29/25. Per report the staff has received disciplinary action, where S1’s employment was terminated. The following deficiencies is being cited on the attached LIC-809D in accordance with California Code of Regulations, Title 22, Division 6. Exit interview conducted. A copy of this report was provided to Licensee whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 15, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 80072(a)(1) · Plan of correction due date: Apr 16, 2026

(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 staff violated resident's personal rights which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 15, 2026

Plan of correction: Staff received disciplinary action and employment was terminated.

Allegation investigated: Licensee is not ensuring that changes in a resident's physical health condition are brought to attention of physician

On 11/24/25 at 12:00 pm Licensing Program Analyst's (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Licensee (L1) Ron Camilo. The Department conducted interviews with staff and reviewed facilty records. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 24, 2025 · control 24-AS-20251121140530

Allegation investigated: Staff is not allowing resident to have her medications and personal property upon discharge Staff did not ensure supervision was provided resulting in resident fall

On 11/17/25 at 9:15 am Licensing Program Analyst's (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Licensee (L1) Ron Camilo. The Department conducted interviews with staff and reviewed facilty records. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 17, 2025 · control 24-AS-20251110143727

Allegation investigated: Staff left resident in soiled diapers for an extended period of time Staff are not following physicians orders

On 7/8/25 at 12:00pm Licesnsing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit and to deliver findings.LPA was granted entry and met with Staff (S1) Gloria Zuniga. Administrator (A1) Ron Camilo was not present during visit, however LPA called (A1) to inform of the findings. Based record reviews, observations, and interviews conducted, staff denied allegations. LPA checked medicatons and it appears that facility is following Physicians orders. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to S1 which confirms signature of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 8, 2025 · control 24-AS-20250627140650

Type of visit: Case Management - Deficiencies

On 7/3/25 Licensing Program Analyst (LPA) J. Leffall arrived at facility to conduct an initial complaint and delivered findings. LPA introduced self and was granted entry. 3 staff were present during visit. LPA was met by Staff (S1) Gloria Zuniga. Staff (S2) Shona Espinosa and Erwin Villaries were also present upon LPA's arrival. Licensee (L1) Ron Camilo arrived shortly after LPA's arrival. After observation and interview, LPA was informed both staff are new to facility. LPA verified both new staff to be associated to facility. Based on record review, 1 out of 3 staff are not associated with facility. The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Civil penalty issued for staff not being fingerprinted and/or associated to facility. Exit Interview conducted. A copy of this report with 9102 and appeal rights were provided to L1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 3, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Jul 4, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 3 staff are not associated which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 3, 2025

Plan of correction: Licensee states will appeal Citation and submit written appeal letter to CCLD. Licensee agrees for staff to return to facility for employment once associated.

Type of visit: Required - 1 Year

On 6/6/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Irene Pinondang, LPA was granted entry. 4 residents were present during inspection. Staff (S1) Rulet Salgado LPA toured facility with L1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were checked and observed. 1 resident’s medications were observed unlocked in kitchen cabinet. Clients’ MARS was reviewed. Multiple medications observed not initialed by staff on 6/6/25. Fire extinguisher reviewed with a purchase date of: 12/30/23 and does not expire for 5 years. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in cabinet. Residents bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 105.6 to 106.5 degrees F in 2 bathrooms. No fire drill conducted by staff. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Samples of clients’ files and staff’s files reviewed to have some required documents missing. Technical Support Services recommended and accepted by Licensee. The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Civil penalties issued for staff not being fingerprinted and/or associated to facility. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 6/20/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020) A copy of this report with 9102 and appeal rights were provided to S1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jun 6, 2025

The state marks this report as 9 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Post Licensing

On 5/1/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct a Post-Licensing Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Erwin Villarias, LPA was granted entry. 2 residents were present during inspection. Licensee (L1) Ronald Camilo arrived shortly after LPA’s arrival. LPA toured facility with L1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were checked and observed locked in cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a purchase date of: 12/30/23 and does not expire for 5 years. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in cabinet. Residents bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 111.9 to 114.9 degrees F in 2 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. All clients’ files and staff’s files reviewed to have all the required documents. Technical Support Services recommended and accepted by Licensee. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 5/22/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020) A copy of this report with 9102 was provided to L1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, May 1, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) J. Leffall and K.Kaur conducted a Pre-licensing Inspection on this 8/12/24. LPA met with Licensee Wiljen Camilo and Ronald Camilo. A tour of the facility was conducted together. This is a new facility with no residents in care. The facility was observed to be at a comfortable temperature, clean, and in good repair. No passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and chairs for residents, adequate outside space for rest and recreational. Seating and shaded area provided by large patio umbrella. Gate is self-closing and self-latching. Perishable and non-perishable food supply appeared adequate. Knives will be locked in kitchen cabinet with medications, and first aid kit. Cleaning and Chemical supplies are kept locked in the laundry room cabinet. Residents' bedrooms were observed to be adequately furnished with bed, dresser, folding chair and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available. Carbon monoxide and smoke alarm detectors installed and operational. 2 bathrooms observed with grab bars installed in shower. Toilet equipped with grab bars. Non-skid mats in place, hand soap and paper towels available for use. Trash cans with tight fitting lids are in place. Fire extinguisher was serviced and fully charged. Complaint poster posted, resident council info posted, residents' rights posted; emergency disaster plan posted. Component III was completed by Licensee. Exit interview was conducted. Pre-licensing requirements were met. An exit interview was conducted with Licensee. Report signed on-site by Licensee and printed copy provided.the state’s words, verbatim · CDSS document, Aug 12, 2024

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participants: Wiljen Camilo, LLC Member/Administrator; Ronald Camilo, LLC Member Interview Method: Telephone interview On 7/1/24, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jul 1, 2024