Senior Care Records.

Complaint Investigation Report

JPS Home Care Services, Vallejo04/04/2025Licence 486803977

Census6
Date signed04/04/2025 02:44:23 PM
The inspector’s account

486803977-4-4-2025-21-AS-KMOA-DFLMEU-20250410093319

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

04/02/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20250402114352

Facility staff do not maintain bathrooms in a clean condition

On 04/04/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Olivia Pangilinen, Caregiver. During the investigation, LPA made observations.

Compliant alleges, Facility bathrooms are "filthy".

Based upon department interviews with staff and observations, information provided was contradicting with a lack of corroborating evidence to support the allegation. LPA did a physical plant tour. Facility has three bathroom, two are resident bathrooms and one is a staff bathroom located in the staff room. LPA observation all bathrooms to be clean.

Although the allegation(s) 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.

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