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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 074700004
Report Date: 05/29/2025
Date Signed: 06/02/2025 10:16:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2025 and conducted by Evaluator Megan Vigil
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250516141134
FACILITY NAME:J&M HOME CARE SERVICES, LLCFACILITY NUMBER:
074700004
ADMINISTRATOR:V.E. JENSENFACILITY TYPE:
300
ADDRESS:16 CROW CANYON COURT SUITE 200TELEPHONE:
(925) 552-6500
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:CENSUS: DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Vicki WildmanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Home Care Organization (HCO) is not providing services to client as contracted.
INVESTIGATION FINDINGS:
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Megan Vigil arrived at location of Home Care Organization (HCO) for the purpose of a complaint investigation.

Enforcement Analyst (EA) Megan Vigil, was greeted by Office Director, Constance Cheong and Designee/Corporate Recruitment and Compliance Manager, Vicki Wildman. EA, Vigil requested the schedule for February 2025 and April 2025, Home Care Aide (HCA) attendance policy from HCA handbook, and copy of client services agreement for review. EA, Vigil conducted an interview with Vicki Wildman and Constance Cheong. EA, Vigil advised to create and provide the disclaimer/acknowledgement to clients regarding HCA attendance process.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of the 9099 and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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