Complaint Investigation Report

414700089-7-17-2023-47-HC-CVAG-CTTU3N-20230717151345

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

10/31/2022 and conducted by Evaluator Karen Ng

COMPLAINT CONTROL NUMBER: 47-HC-20221031122422

A Home Care Organization (HCO) employee is falsifying and forging HCO records.

On 6/2/23 at approximately 10:15am, Home Care Services Analyst (HCSA), Karen Ng, spoke with Home Care Organization (HCO) licensee, Jim Carteris regarding the above complaint allegation.

Mr. Carteris strongly denies himself falsifying and forging of HCO statements or records and denies this occurring in his HCO or at least this issue has never been brought to his attention and will certainly include this in their code of conduct policies.

Based on the HCSA’s record review of the HCO roster and interview conducted, 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.

Exit interview conducted, HCS 9099 and appeal rights provided by email, and licensee was told to sign and send back to Home Care Services Bureau.