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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700199
Report Date: 12/16/2025
Date Signed: 12/16/2025 11:40:42 AM

Substantiated


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
12/08/2025 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20251208100525
FACILITY NAME:DAY & NITE CARE @ HOME, INC.FACILITY NUMBER:
194700199
ADMINISTRATOR:SARAH DIZONFACILITY TYPE:
300
ADDRESS:356-B WEST COLORADO STTELEPHONE:
(818) 548-2722
CITY:GLENDALESTATE: ZIP CODE:
91204
CAPACITY:CENSUS: DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Betty De Borja - LicenseeTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Home Care Organization is utilizing 1099, independent contractor
INVESTIGATION FINDINGS:
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On 12/16/25 Home Care Services Branch Enforcement Analyst (EA) Ryan Chan conducted an investigation visit regarding the above complaint allegation. Upon arrival, EA met with licensee Betty De Borja.

During today's visit EA interviewed licensee Betty De Borja and supervisor Maria Cecilia Doce. Interviews revealed home care organization (HCO) was employing home care aides (HCA) as 1099, both licensee and supervisor did not know this practice was allowed. Licensee agreed to convert all 1099 employees to W2 effective 12/16/25.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.42 (b) is being cited on the attached HCS 9099D.EA concluded the visit with an exit interview and provided a copy of this report along with appeal rights to the licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 2
Control Number 47-HC-20251208100525
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: DAY & NITE CARE @ HOME, INC.
FACILITY NUMBER: 194700199
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/19/2025
Section Cited
1796.42(b)
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1796.42 (b) A home care organization licensee shall do all of the following:
(b) Maintain and abide by a valid workers’
compensation policy covering its affiliated home care aides.
This requirement is not met as evidenced by:
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Licensee will provide EA Chan with a statement that home care aides (HCA) employed as 1099 will be converted to W2 and moving forward licensee will no longer employ home care aides as 1099, the statement will be emailed to
ryan.chan@dss.ca.gov.
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Based on interview with licensee and supervisor, home care organization employ1099 workers which poses a potential risk to the health and safety of home care aides.
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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.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2