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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700131
Report Date: 09/02/2025
Date Signed: 09/02/2025 11:25:22 AM

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
08/15/2025 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20250815141708
FACILITY NAME:FIRSTLIGHT HOME CARE OF SOUTH BAYFACILITY NUMBER:
194700131
ADMINISTRATOR:ROBERTS, LARRYFACILITY TYPE:
300
ADDRESS:20710 MANHATTAN PL #104TELEPHONE:
(424) 704-5330
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:CENSUS: DATE:
09/02/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Salvador Morales Operations ManagerTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Home Care Aide worked without a fingerprint clearance
Home Care Aide worked without receiving initial training
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/2/25, Home Care Services Branch Enforcement Analyst (EA), Ryan Chan conducted an investigation visit regarding the above complaint allegations. Upon arrival, EA met with Operations Manager Salvador Morales.

During today's visit, EA reviewed files and interviewed Mr. Morales. Based on evidence presented, the home care aide (HCA) in question, S1, was provided the initial training requirements under Health and Safety Code 1796.44(b). Training was provided in-house and through online courses. Fingerprint clearance was also reviewed for S1 which indicated S1 is fingerprint cleared.

Based on the evidence gathered and interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED.
EA concluded the visit with an exit interview and provided a copy of this report along with appeal rights to Mr. Morales.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
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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