Complaint Investigation Report

364700157-5-10-2024-47-HC-WSCT-D59SZR-20240514141935

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

02/20/2024 and conducted by Evaluator Megan Vigil

COMPLAINT CONTROL NUMBER: 47-HC-20240220091916

Business is operating an unlicensed Home Care Organization.

Associate Government Program Analyst (AGPA) Vigil spoke to Licensee over the phone to discuss the allegation above.

Licensee, Justin Larsen stated they operate an active hospice license, verified through California Department of Public Health license # 550006030, facility ID 630020124. The Organization is exempt from licensure per Health and Safety Code 1796.45, Article 2, Section 1796.17 (b)(2). However, Licensee obtained the Home Care Organization License 364700157 in addition to/separate from the hospice license for the purposes of providing non-medical services to the public.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, a copy of the 9099 report and appeal rights were provided.