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13 | 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 on 6/12/2024. EA Vigil was greeted by Designee, Kelsey Chavez. EA Vigil requested the records needed to complete a file review. Chavez explained they do not have access to the records but could speak with the Operations Manager, Kathy Keen, over the phone. EA Vigil requested access to the digital files, but Keen denied access and stated they would send digital files via email from the corporate office in Tennessee. Keen sent some records, but the documentation could not be reviewed and needed to be available on site. EA Vigil advised Keen over the phone, if the Designee could login to the programs/system, we could complete the review. Keen denied access to records for the second time. EA Vigil was unable to review the records and could not complete the investigation which resulted in multiple citations in addition to the allegations. Based on the EA’s interview and evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A copy of 9099, 9099D reports and appeal rights were provided. Exit interview.
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| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
07/18/2025
Section Cited
1796.43 | 1
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7 | (a) Home care organizations that employ
affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients... | 1
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7 | The Licensee understands that the books, records, and premises must be made available for random, unannounced inspections or complaint investigations. The Licensee will submit a typed plan that outlines how they ensure the requirement will be met and email to megan.vigil@dss.ca.gov by 07/18/2025. |
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14 | Enforcement Analyst discovered, through interviews and/or evidence collected, home care aides were not cleared/eligible on the home care aide registry before providing services to the public. This poses an immediate health and safety risk to clients in care. | 8
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14 | Licensee must verify all home care aides are cleared/eligible on the home care aide registry before placing the individual in direct contact with clients. |
Type A
07/18/2025
Section Cited
1796.23 | 1
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7 | (a) Each person initiating a background examination to be a registered home care aide shall submit his or her fingerprints to the Department of Justice by electronic transmission in a manner approved by the department, unless exempt under subdivision (d)… | 1
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7 | The Licensee understands that the books, records, and premises must be made available for random, unannounced inspections or complaint investigations. The Licensee will submit a typed plan that outlines how they ensure the requirement will be met and email to megan.vigil@dss.ca.gov by 07/18/2025. |
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14 | Enforcement Analyst discovered, through interviews and/or evidence collected, home care aides did not complete the fingerprint process before providing services to the public. This poses an immediate health and safety risk to clients in care. | 8
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14 | Licensee must verify all home care aides submit their fingerprints to the Department of Justice for a background examination to be a registered home care aide. |