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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700631
Report Date: 08/06/2025
Date Signed: 08/06/2025 10:48:03 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
07/29/2025 and conducted by Evaluator Joshua Rarela
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250729092806
FACILITY NAME:FIRSTLIGHT HOME CARE OF SANTA CLARITAFACILITY NUMBER:
194700631
ADMINISTRATOR:ERNESTO ORTEGA OLTRAFACILITY TYPE:
300
ADDRESS:28015 SMYTH DR STE 105TELEPHONE:
(818) 383-4239
CITY:SANTA CLARITASTATE: CAZIP CODE:
91355
CAPACITY:CENSUS: DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ernesto Ortega Oltra, AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Home Care Aide did not meet the proper qualifications to care and supervise client
INVESTIGATION FINDINGS:
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an onsite inspection for the purpose of a Complaint Investigation. The EA met with the individual named above and discussed the following.

During the course of the investigation, EA conducted interviews and reviewed the former Home Care Aide's (HCA) files which included their criminal record clearance documentation provided by the Department of Justice, training and personnel records with the Home Care Organization (HCO), and HCA Registry records of the former HCA.

The review of records indicated that the former HCA obtained the proper fingerprint live scan to obtain a background clearance from the Department of Justice fulfilling HCO statute requirements.

(CONTINUED)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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 3
Control Number 47-HC-20250729092806
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: FIRSTLIGHT HOME CARE OF SANTA CLARITA
FACILITY NUMBER: 194700631
VISIT DATE: 08/06/2025
NARRATIVE
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However, the review of records revealed that the HCO failed to provide the mandatory entry training to the HCA as required by the Health and Safety Code statutes for Home Care Organizations. The former HCA was employed by the HCO from June 2023 through December 2023.

Based on EA's observations, interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A copy of this report was provided electronically.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 47-HC-20250729092806
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: FIRSTLIGHT HOME CARE OF SANTA CLARITA
FACILITY NUMBER: 194700631
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/07/2025
Section Cited
1796.44
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1796.44 Training Requirements (a) A licensee shall ensure that prior to providing home care services, an affiliated home care aide shall complete the training requirements specified in this section. (b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows: (1) Two hours of orientation training regarding his or her role as caregiver and the applicable terms of employment. (2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control.
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The HCA is no longer employed by the HCO. The former HCA was employed by the HCO from June 2023 through December 2023.
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Based on the information obtained, it was determined that the HCO failed to provide the mandatory entry training requirements for the HCA, which poses an immediate Health and Safety risk to persons in care.
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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: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3