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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700051
Report Date: 07/14/2025
Date Signed: 07/15/2025 08:21:25 AM

Document Has Been Signed on 07/15/2025 08:21 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:ALLPRO STAFFNET LIMITED LIABILITY COMPANYFACILITY NUMBER:
074700051
ADMINISTRATOR/
DIRECTOR:		KELLEY, ANGELAFACILITY TYPE:
300
ADDRESS:1280 CENTRAL BLVD, STE HTELEPHONE:
(615) 848-1377
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: CENSUS: DATE:
07/14/2025
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Kelsey ChavezTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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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 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. It was found, through evidence and interviews conducted, Licensee Louis Tapia, continued to operate at two unlicensed locations after being cited for operating an unlicensed home care organization.

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 809, 809D reports and appeal rights were provided. Exit interview.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 07/15/2025 08:21 AM - It Cannot Be Edited


Created By: Megan Vigil On 07/10/2025 at 09:51 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: ALLPRO STAFFNET LIMITED LIABILITY COMPANY
FACILITY NUMBER: 074700051

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/18/2025
Section Cited
1796.45
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...(d) After each examination, an affiliated home care aide shall submit, and the home care organization shall keep on file, a certificate from the examining practitioner showing that the affiliated home care aide was examined and found free from active tuberculosis disease…
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The Enforcement Analyst was unable to review a certificate free from active tuberculosis related to the home care aides before providing services to the public. This poses an immediate health and safety risk to clients in care.
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Type B
07/18/2025
Section Cited
1796.44
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(a) A licensee shall ensure that prior to providing
home care services, an affiliated home care aide
shall complete the training requirements specified
in this section...(b), an affiliated home care aide shall complete a minimum of five hours of annual training.
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The Enforcement Analyst was unable to review the completed training requirements assigned to the home care aides before providing services to the public. This poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/15/2025 08:21 AM - It Cannot Be Edited


Created By: Megan Vigil On 07/10/2025 at 10:12 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: ALLPRO STAFFNET LIMITED LIABILITY COMPANY
FACILITY NUMBER: 074700051

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2025
Section Cited
1796.52 a,b,c
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(a) The department may review and investigate complaints filed against home care organizations regarding violations..
(b) The department shall verify through random, unannounced inspections that a home care organization meets the requirements...
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(c) An investigation or inspection conducted by the department...may include, but is not limited to, inspection of the books, records, or premises...refusal... shall constitute cause for the revocation of the home care organization’s license.This poses a potential health and
safety risk to clients in care.
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Type B
07/10/2025
Section Cited
1796.36
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(a) A home care organization that has its principal place of business in another state... before arranging for home care service... shall (2) Maintain all pertinent records of the operation in California at the California office. All records shall be available to review, copy, audit, and inspect by the department. This poses a potential health and
safety risk to clients in care.
Type B
07/17/1796
Section Cited
1796.17
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(a) Each home care organization shall be separately licensed. This chapter does not prevent a licensee from obtaining more than one home care organization license or obtaining a home care organization license in addition to other licenses issued by the department, or both.This poses a potential health and safety risk to clients in care.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2025
LIC809 (FAS) - (06/04)
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