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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700708
Report Date: 03/19/2024
Date Signed: 03/19/2024 03:04:45 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
01/31/2024 and conducted by Evaluator Ruben Perez
COMPLAINT CONTROL NUMBER: 47-HC-20240131165123
FACILITY NAME:ARCHANGEL CARE SERVICES LLCFACILITY NUMBER:
194700708
ADMINISTRATOR:REGALIZA, MARILENEFACILITY TYPE:
300
ADDRESS:5750 DOWNEY AVENUE, STE 301TELEPHONE:
(562) 252-2310
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY:CENSUS: DATE:
03/19/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dodie Mangune TIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
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9
Home Care Aides do not have a fingerprint clearance prior to caring for clients.

Home Care Aides are not approved on the Home Care Aide Registry prior to caring for clients.

Home Care Organization provided training certificate to Home Care Aides without providing required training.

Home Care Organization is working 1099 contracted employees.
INVESTIGATION FINDINGS:
1
2
3
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5
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7
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9
10
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13
Associate Governmental Program Analysts (AGPA) Ruben Perez arrived at the business address to meet with Dodie Mangune, designee of Archangel Care Services at 5750 Downey Ave, Ste 301, Lakewood, CA to discuss the above complaint allegations. Designee, Dodie Mangune, greeted me at the door and let me in for an inspection of the organization. Dodie was able to provide documentation and personnel folders that concluded the Home Care Organization did not violate the allegations above.

Based on AGPA's observations and interviews, the AGPA concluded that there was not enough evidence to show that the organization violated any of the allegations listed above, therefore, the above allegations are found to be UNSUBSTANTIATED.

Analyst Perez concluded the visit with an exit interview and provided a copy of the report along with appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024
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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