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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700755
Report Date: 07/10/2024
Date Signed: 07/10/2024 03:47:15 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/10/2024 03:47 PM - It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:ALWAYS BEST CAREFACILITY NUMBER:
194700755
ADMINISTRATOR/
DIRECTOR:		DIANE PIERSONFACILITY TYPE:
300
ADDRESS:425 N. SANTA ANITA AVE, STE. ATELEPHONE:
(626) 778-1441
CITY:ARCADIASTATE: CAZIP CODE:
91006
CAPACITY: CENSUS: DATE:
07/10/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Diane Pierson - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Home Care Services Bureau (HCSB) Analyst Ryan Chan arrived at the business office of Always Best Care on 7/10/24 for a biennial inspection. Upon arrival, the HCSB analyst identified himself then was shown to an area where the review of personnel and administrative files could be performed. The proper posting of business hours and license was observed. Upon completion of the file review the analyst discussed the findings of the inspection with the licensee Diane Pierson and Helayne Hill (HR Director). The analyst informed the licensee and HR Director of the deficiencies found and explained they would be noted on the 809D. Licensee and HR Director were advised that home care aides are not to provide care to clients without proof of tuberculosis clearance.

Analyst Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 07/10/2024 03:47 PM - It Cannot Be Edited


Created By: Ryan Chan On 07/10/2024 at 02:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: ALWAYS BEST CARE
FACILITY NUMBER: 194700755

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2024
Section Cited
1796.44(c)
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1796.44(c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific.... training program.
This requirement was not as evidenced by:
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Based on interviews and documents reviewed licensee did not ensure that home care aides (S2 and S7) completed annual training which poses a potential health and safety risk to 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.
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/10/2024 03:47 PM - It Cannot Be Edited


Created By: Ryan Chan On 07/10/2024 at 03:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: ALWAYS BEST CARE
FACILITY NUMBER: 194700755

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/10/2024
Section Cited
1796.45(a)
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1796.45(d) After each examination, an affiliated home care aide shall submit, and the home care organization shall keep on file, a certificate from the examining practitioner showing that the affiliated home care aide was examined and found free from active tuberculosis disease.
This requirement was not met as evidenced by:
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Based on records reviewed, licensee did not have a copy of TB test on file for S3 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.
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
LIC809 (FAS) - (06/04)
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