Senior Care Records.

Complaint Investigation Report

Agape Home Care, Eureka01/03/2024Licence 124700004

Date signed02/06/2024 01:20:01 PM
The inspector’s account

124700004-2-6-2024-47-HC-WSCT-D4SLVM-20240429090543

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

03/28/2022 and conducted by Evaluator Megan Vigil

COMPLAINT CONTROL NUMBER: 47-HC-20220328100539

Home Care Aide does not have TB requirements prior to caring for clients.

Home Care Services Bureau (HCSB) Associate Government Program Analyst (AGPA) Megan Vigil arrived at the business office of Agape Home Care on 1.3.24 at approximately 2:00PM and was greeted by Designee, Amy Zelanick.

AGPA Vigil conducted an annual inspection and discussed the complaint allegation. Upon completion of the file review, it was found there was not a TB test on file for the mentioned Home Care Aide. Health and Saftey Code is cited and the deficiencies are on the attached 9099d report, an exit interview was conducted and appeal rights provided.

Based on AGPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction