Senior Care Records.

Complaint Investigation Report

Divine Fijian's Home Care, Santa Rosa09/12/2023Licence 494700034

Date signed09/12/2023 03:07:39 PM
The inspector’s account

494700034-9-12-2023-47-HC-WSCT-CWPQMX-20231017121817

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

08/07/2023 and conducted by Evaluator Ramsey Chimienti

COMPLAINT CONTROL NUMBER: 47-HC-20230807081508

Home Care Organization (HCO) has unregistered Home Care Aides (HCA) working in close contact with clients.

On 9/12/23, Analyst Ramsey Chimienti arrived at the business address for Divine Fijian’s Home Care. Analyst Chimienti introduced himself and was greeted by Sanaila Matakibau. Analyst explained that he was there to investigate the above complaint allegation. Analyst Chimienti interviewed Mr. Matakibau regarding the company’s onboarding process for caregivers including background check and registration on the Home Care Aide (HCA) Registry. Analyst Chimienti also reviewed personnel files and payroll to ensure licensing requirements are met. The documentation demonstrated that certain HCA staff are working prior to clearance on the Home Care Aide Registry.

Based on Analyst’s observations and interviews, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Article 7, Section 1796.43(a) is being cited on the attached LIC 9099D.

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

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