Complaint Investigation Report

364700050-2-7-2024-47-HC-CVAG-D28V9B-20240207151401

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

05/11/2023 and conducted by Evaluator Michael Drake

COMPLAINT CONTROL NUMBER: 47-HC-20230511120606

On 01/31/2024, at 12:00pm, Home Care Services Branch Analyst (HCSA), Mike Drake, conducted a complaint phone call with licensee, Charisse Wilson and disclosed the purpose of the call.

At 12:25pm, HCSA Drake reviewed records for HCA #1 and the record did not show fingerprint clearance or registration on the HCA Registry prior to providing home care services. Licensee confirmed the start date for HCA#1 was 02/2023 and stated the HCA was not registered and was working as a 1099 employee. She also stated that she has other 1099 employees.

Based on HCSA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Health and Safety Code are being cited on the attached 9099D.

Exit interview was conducted. Copies of the HCS 9099, HCS 9099D, and appeal rights provided. Licensee told to to sign and return 9099.