Complaint Investigation Report

214700036-7-10-2024-47-HC-WSCT-D7GTA5-20240724143259

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

04/17/2024 and conducted by Evaluator Todd Borcher

COMPLAINT CONTROL NUMBER: 47-HC-20240417163230

Licensee is operating outside the terms and conditions of license.

On July 9, 2024, Home Care Services Branch (HCSB) Analyst, Todd Borcher, arrived at the business address for C3 Services LLC, located at 900 Mission Ave Ste 2, San Rafael, CA 94901. Analyst Borcher introduced himself and was greeted by licensee Cecil Tiong. The analyst explained that he was there to investigate the above complaint allegation.

Analyst Borcher interviewed licensee regarding the employees and caregivers the home care organization (HCO) hires. The analyst also reviewed personnel files and payroll documents to investigate the presence of 1099 employees. The documentation demonstrated that the Home Care Organization is utilizing W2 forms for all employees.

Based on the evidence obtained and interviews conducted, Analyst Borcher concluded that there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Analyst concluded the visit with an exit interview and provided a copy of the HCS 9099 investigation report along with appeal rights to the licensee.