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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700028
Report Date: 03/25/2024
Date Signed: 04/17/2024 01:21:59 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
09/07/2023 and conducted by Evaluator Ramsey Chimienti
COMPLAINT CONTROL NUMBER: 47-HC-20230907083923
FACILITY NAME:SALUS HOMECAREFACILITY NUMBER:
194700028
ADMINISTRATOR:MARK MORTENSENFACILITY TYPE:
300
ADDRESS:21151 S. WESTERN AVE STE. 207TELEPHONE:
(949) 390-7308
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:CENSUS: DATE:
03/25/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Diana RoblesTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
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8
9
Home Care Aides have not met training requirements prior to working with clients.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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12
13
On 3/25/24, Home Care Services Analysts Ramsey Chimienti, Mila Quinto and Todd Borcher arrived at the business address for Salus Homecare. The Analysts introduced themselves and were greeted by Diana Robles. The Analysts explained that they were there to investigate the above complaint allegation. Analyst Chimienti interviewed Diana regarding the company’s onboarding process for caregivers including the delivery of the training for Home Care Aides (HCAs). The Analyst also reviewed personnel files to confirm that the minimum amount of training hours and topics were being provided prior to HCA contact with clients. The documentation demonstrated that all HCA staff met the training requirements for licensure.
The Analysts concluded that there was not conclusive evidence to substantiate the above allegations. The analysts delivered the findings to Diana. Based on the preponderance of evidence gathered through interviews conducted, evidence obtained and observations, the above allegations were found to be unsubstantiated. An exit interview was conducted, and the licensing reports and appeal rights were provided to the designee.
Analyst Chimienti concluded the visit with an exit interview and provided a copy of the HCS 9099 report along with appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2024
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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