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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850778
Report Date: 06/08/2026
Date Signed: 06/08/2026 02:29:07 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
06/04/2026 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 29-AS-20260604123240
FACILITY NAME:PARK PLACE CAMARILLOFACILITY NUMBER:
565850778
ADMINISTRATOR:CHARETTE, HEIDIFACILITY TYPE:
740
ADDRESS:903 CARMEN DRIVETELEPHONE:
(818) 426-0886
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:130CENSUS: 57DATE:
06/08/2026
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Heidi CharetteTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Facility does not have a working telephone
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced initial complaint visit regarding the above noted allegation. LPA met with Administrator Heidi Charette. Entrance interview conducted.

During today’s visit, LPA interviewed Administrator at 12:53PM, staff at 01:35PM, and a telephonic interview with staff at 02:00PM. LPA obtained copies of pertinent documents. Prior to conducting today's visit, the LPA had called the facility on various occasions and made observations. The following was then determined:

Interviews revealed that following the recent change of ownership, the licensee decided to upgrade the facility's phone system. Technicians were on site on 06/04/2026 and 06/05/2026 to work on the upgrade and reprogram the extensions. Interviews revealed that it is possible that during the service, the phones may

Report continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2026
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-20260604123240
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: PARK PLACE CAMARILLO
FACILITY NUMBER: 565850778
VISIT DATE: 06/08/2026
NARRATIVE
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have been down for a brief period of time. Interview with staff revealed that the families have alternate ways to contact the facility such as calling a resident on their personal cell phone or sending a text message to staff. No one informed the facility that they had attempted to contact a resident and they were unable to reach anyone. Residents can use either the facility phone to call out or they can ask staff to assist them in making a call. No residents reported ever not being able to make or receive telephone calls. LPA also called the facility on various occasions during the time the complaint was received and today's visit. On one of the LPA's telephone calls, there was a recording prompting the LPA to choose an extension. The other three (3) telephone calls the LPA made were answered by the receptionist. Administrator indicated that a receptionist is present at the front desk seven (7) days a week from 09:00AM to 05:30PM. After hours, calls are automatically redirected to the memory care unit where staff are always present and able to answer the phone. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. 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.

No citations issued. Exit interview was conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2026
LIC9099 (FAS) - (06/04)
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