Complaint Investigation Report

014700109-6-27-2024-47-HC-WSCT-D72T4B-20240710142338

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE SERVICES , 744 P STREET, MS 09-14-90

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/16/2024 and conducted by Evaluator Todd Borcher

COMPLAINT CONTROL NUMBER: 47-HC-20240516091346

Home Care Aides are not approved on the Home Care Aide Registry.

On June 27, 2024, Home Care Services Branch (HCSB) Analyst, Todd Borcher, completed a complaint investigation, via interview, regarding the above allegation. Analyst Borcher spoke to Licensee Fortune Hughes. The analyst explained that he was finalizing a complaint investigation regarding the above complaint.

The analyst reviewed a list of documents that were made available by Licensee in order to complete the investigation. The requested documents included the last available four weeks of payroll, the caregiver schedule, and personnel caregiver files.

Based on the preponderance of evidence gathered through interviews conducted, evidence obtained and observations, the above allegation was found to be SUBSTANTIATED. Health and Safety Code, Division 2,

Chapter 13, Article 7, Section 1796.43(a) is being cited on the attached LIC 9099D.

Analyst Borcher concluded the visit with an exit interview and provided a copy of the HCS 9099 and 9099D investigation reports along with appeal rights.