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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700708
Report Date: 10/23/2024
Date Signed: 10/23/2024 03:06:16 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
06/11/2024 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20240611103936
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:
10/23/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria Nonato - Officer In ChargeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
HCO is using independent contractors as caregivers
INVESTIGATION FINDINGS:
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13
On 10/23/24, Home Care Services Branch Enforcement Analyst (EA) Ryan Chan arrived at the office of Archangel Care Services LLC to deliver the findings for the allegation stated above. Upon arrival, EA met with Maria Nonato - Officer In Charge.

During the course of the investigation EA interviewed Maria Nonato and business owner Marilene Regaliza, both parties stated they do not employ independent contractors for this home care organization (HCO). In addition, EA reviewed HCO roster on Guardian, payroll records, and DE9 forms reporting wages to the Employment Development Department (EDD). The payroll records match the EDD forms submitted.

Based on the evidence gathered through interviews conducted and evidence obtained, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED.
EA Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights to Maria Nonato.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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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