<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 074700161
Report Date: 11/05/2025
Date Signed: 11/05/2025 03:20:55 PM

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
10/30/2025 and conducted by Evaluator Megan Vigil
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20251030085155
FACILITY NAME:CASWELL BAY INC DBA HILLENDALE HOME CARE INC.FACILITY NUMBER:
074700161
ADMINISTRATOR:JILL CABECIERASFACILITY TYPE:
300
ADDRESS:2950 BUSKIRK AVE. STE 200TELEPHONE:
(925) 933-8181
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:CENSUS: DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Joy JervosoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
HCO allows unregistered Home Care Aides to provide care services
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Enforcement Analysts (EAs) Megan Vigil and Yolanda Hankerson were greeted by the designee upon arrival for the purpose of a complaint investigation.

The most current payroll record was requested and reviewed. The EAs compared the payroll record with the Home Care Aide Registry and confirmed that all selected Home Care Aides were fingerprinted and registered.

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: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1