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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700354
Report Date: 06/26/2024
Date Signed: 07/02/2024 04:28:33 PM

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
12/05/2023 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20231205093835
FACILITY NAME:ALLWEST NURSING SERVICES, INC.FACILITY NUMBER:
194700354
ADMINISTRATOR:AQUINO, GRACEFACILITY TYPE:
300
ADDRESS:315 ARDEN AVE. STE. 9TELEPHONE:
(818) 241-9828
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY:CENSUS: DATE:
06/26/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Maria De Venecia - Staffing CoordinatorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Home Care Aides do not have required training to care for clients.
INVESTIGATION FINDINGS:
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*This is an amended report
On 6/26/24, Home Care Services Analysts (HCSA), Ryan Chan conducted an investigation visit regarding the above complaint allegation. Upon arrival, HCSA met with staffing coordinator Maria De Venicia. Licensee Grace Aquino arrived during the visit.

The complainant alleged Home Care Aide (HCA) did not have proper training to care for clients. During today’s visit, HCSA interviewed Maria who stated staff are trained on proper care of clients. HCSA reviewed 2 staff files, both staff files did not have proof of completion of yearly training required by statute.

Based on Analyst’s observations and interviews, the preponderance of evidence standard has been met, therefore, the above found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.44(c) is being cited on the attached LIC 9099D. Analyst Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
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 3
Control Number 47-HC-20231205093835
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: ALLWEST NURSING SERVICES, INC.
FACILITY NUMBER: 194700354
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2024
Section Cited
1796.44(c)
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1796.44(c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training...relate to core competencies and be population specific, which shall include, but not be limited to, the following areas...
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Licensee will email proof of completion of training to their analyst at marisa.bodine@dss.ca.gov
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Based on documents reviewed, licensee failed to follow training required by statute. S1 and S2 did not have proof of completion of annual training.
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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: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3