194700542-3-12-2026-47-HC-SDUU-DSCTSC-20260320145853

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 194700542
Report Date: 03/12/2026
Date Signed: 03/12/2026 12:36:56 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
12/22/2025 and conducted by Evaluator Ryan Chan

COMPLAINT CONTROL NUMBER: 47-HC-20251222103717

FACILITY NAME:	PREMIER SENIOR CARE		FACILITY NUMBER:	194700542
ADMINISTRATOR:	WILLIAM ERICKSON		FACILITY TYPE:	300
ADDRESS:	100 WEST BROADWAY SUITE 3000		TELEPHONE:	(310) 871-7194
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:		CENSUS:	DATE:	03/12/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Marcie Barrett - Licensee		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Home Care Aide has not completed the required training hours

INVESTIGATION FINDINGS:

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On 3/12/26, Home Care Services Branch Enforcement Analyst (EA), Ryan Chan conducted a follow up investigation visit regarding the above complaint allegation. Upon arrival, EA met with licensee Marcie Barrett.

Reporting party (RP) alleges that home care aide (HCA) and RP were involved in a verbal dispute in front of the client who was at the hospital at the time of the incident. RP alleges that HCA came to visit the client at the hospital but was not during HCAs scheduled shift. While visiting the client, RP and HCA were involved in a verbal argument while client was present in the hospital bed. RP alleges HCA made derogatory remarks to RP. RP alleges that HCA refused to leave when asked. RP alleges that HCA lacks the proper training to provide care to the client.

(see pg 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

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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Control Number 47-HC-20251222103717

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: PREMIER SENIOR CARE	FACILITY NUMBER: 194700542
	VISIT DATE: 03/12/2026

NARRATIVE

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During the course of the investigation, EA interviewed both licensees, EA also reviewed the home care organization’s policy and procedures manual, client care plan, and HCA files. EA interviewed HCA who admitted there was a disagreement between her and RP in the hospital room while the client was present, HCA stated RP was the aggressor. During the incident, HCA stated she kept her composure, did not yell and did not utter profanities because HCA stated she was aware the client was already in a fragile state. HCA stated she exited the hospital room after approximately 5 minutes to try and de-escalate the situation. HCA stated she has been a caregiver for 30 years and knew how to conduct herself. Additionally, HCA stated she has received initial and annual training from this home care organization (HCO). EA interviewed the licensee and director; they were aware of the incident which they addressed with the client and the client’s wife who kept HCA on as the caregiver because they were happy with the services provided. EA reviewed the personnel files of the three HCA’s assigned to the client, all three HCAs have received all training required under Health and Safety Code 1796.44.

Based on the evidence gathered and interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED.

EA concluded the visit with an exit interview and provided a copy of this report along with appeal rights to licensee.

SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

LIC9099 (FAS) - (06/04)

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