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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700708
Report Date: 03/12/2025
Date Signed: 03/12/2025 03:26:06 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
02/22/2025 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20250222133504
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:
03/12/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria Nonato - Officer In ChargeTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Home Care Aides are not approved on the Home Care Aide Registry prior to caring for clients.
INVESTIGATION FINDINGS:
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On 3/12/25, Home Care Services Branch Enforcement Analyst (EA), Ryan Chan conducted an investigation visit regarding the above complaint allegation. Upon arrival, EA met with Officer in charge, Maria Nonato.

During today's visit, EA reviewed 51 home care aide files for proof of home care aide (HCA) registry and interviewed Ms. Nonato. Of the 51 files reviewed, 4 did not renew their HCA registry. 3 of the 4 who did not renew their HCA registry are currently providing care to clients while the other HCA who did not renew has not been with a client since before their HCA registry expired. Ms. Nonato was advised that HCAs who do not have proof of clearance on the HCA registry are not to be with clients.

Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.43(a) is being cited on the attached HCS 9099D. EA concluded the visit with an exit interview and provided a copy of this report along with appeal rights to the Ms. Nonato.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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-20250222133504
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: ARCHANGEL CARE SERVICES LLC
FACILITY NUMBER: 194700708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/19/2025
Section Cited
1796.43(a)
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1796.43 (a) “Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients...”
This requirement is not met as evidenced by:

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Ms. Nonato will remove HCAs who are not cleared from the HCA registry from client care. Ms. Nonato will scan proof of clearance in the form of a screen capture from the Home Care Aide Registry Search site or a copy of your current personnel roster in Guardian showing registered/eligible for all employees and email to wendy.her@dss.ca.gov
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Based on records reviewed licensee did not ensure that home care aides (S13, S20, and S23) were cleared on the home care aide registry before placing the individuals in direct contact with clients which poses an immediate risk to the health and safety of clients 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: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3