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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 154700027
Report Date: 05/29/2024
Date Signed: 05/29/2024 04:12:43 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
02/28/2024 and conducted by Evaluator Ruben Perez
COMPLAINT CONTROL NUMBER: 47-HC-20240228102056
FACILITY NAME:L4 ENTERPRISES INC. DBA HOME INSTEADFACILITY NUMBER:
154700027
ADMINISTRATOR:SNOW JR, LAWRENCE EFACILITY TYPE:
300
ADDRESS:5500 MING AVE STE 360TELEPHONE:
(661) 888-4908
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:CENSUS: DATE:
05/29/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Lawrence Snow TIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Home Care Organization is not ensuring that Home Care Aides are approved and on the Home Care Home Care Aide Registry prior to caring for clients.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/29/2024, Analyst Ruben Perez arrived at the business address for Home Instead. Analyst Perez introduced himself and was greeted by Lawrence Snow. Analyst explained that he was there to investigate the above complaint allegations. Analyst Perez interviewed Lawerence regarding the company’s onboarding process for caregivers including background check, registration on the Home Care Aide (HCA) Registry and training. Analyst Perez also reviewed personnel files and payroll to ensure licensing requirements are met.

Based on AGPA's observations and interviews, the AGPA concluded that there was not enough evidence to show that the organization violated any of the allegations listed above, therefore, the above allegations are found to be UNSUBSTANTIATED.

Analyst Perez concluded the visit with an exit interview and provided a copy of the report along with appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
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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