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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700079
Report Date: 11/12/2025
Date Signed: 12/02/2025 08:08:24 AM

Document Has Been Signed on 12/02/2025 08:08 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:GOOD CAREGIVER, THEFACILITY NUMBER:
074700079
ADMINISTRATOR/
DIRECTOR:		ONSTOTT, ALAYNEFACILITY TYPE:
300
ADDRESS:2129 PTARMIGAN DR. #2TELEPHONE:
(855) 210-2273
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94595
CAPACITY: CENSUS: DATE:
11/12/2025
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Alayne Onscott TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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Enforcement Analyst (EA) Megan Vigil conducted a phone interview with Licensee Alayne Onscott regarding the ongoing complaint investigation. EA Vigil requested documentation from the licensee, which was submitted immediately. Upon review of the documents received and based on interviews conducted, EA Vigil determined that home care aides (HCA) were providing medical services not authorized under the Home Care Organization (HCO) license.

Onscott was forthcoming during the interview and explained that an HCA stated they performed certain medical services. Onscott stated that they advised the HCAs, they were not permitted to perform some of those services under the HCO license; however, the services were provided regardless of her direction. Onscott also disclosed that another medical service had been provided which they had not realized was unauthorized under the HCO license and was forthcoming about this oversight.Onscott expressed willingness to update policies and procedures to ensure current and new Home Care Aides (HCAs) are properly informed about which services are authorized, and which are not.

The licensee will be cited for providing unauthorized medical services. A copy of the 809, 809D and appeal rights were provided. An exit interview was conducted.

NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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Document Has Been Signed on 12/02/2025 08:08 AM - It Cannot Be Edited


Created By: Megan Vigil On 11/12/2025 at 02:05 PM
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: GOOD CAREGIVER, THE
FACILITY NUMBER: 074700079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/03/2025
Section Cited
1796.12
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1796.12 (n)…This subdivision shall not authorize a registered home care aide to assist with medication that the client self-administers that would otherwise require administration or oversight by a licensed health care professional...
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Based on the information obtained, it was determined that the Home Care Organization (HCO) is providing medical services to client. This practice exceeds the scope of care authorized under home care services licensure and poses an immediate 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: 11/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2025
LIC809 (FAS) - (06/04)
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