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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700767
Report Date: 03/20/2025
Date Signed: 03/24/2025 07:31:47 AM

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
02/04/2025 and conducted by Evaluator Joshua Rarela
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250204103654
FACILITY NAME:LLL HEALTHCARE LLCFACILITY NUMBER:
194700767
ADMINISTRATOR:ORTILE, JOCELYNFACILITY TYPE:
300
ADDRESS:741 IROLO ST STE106TELEPHONE:
(818) 818-4442
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY:CENSUS: DATE:
03/20/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Jocelyn Ortille, AdministratorTIME COMPLETED:
12:29 PM
ALLEGATION(S):
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HCO is using independent contrators to provide care
INVESTIGATION FINDINGS:
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an
inspection for the purpose of delivering findings of a Complaint Investigation. The EA met with the Home Care Organization (HCO) administrator named above and discussed the allegation.

During the course of the investigation, EA interviewed the alleged independent contractor Home Care Aide (HCA), the complainant, the HCO administrator and reviewed records including the HCO's personnel records of their former HCA which included the HCA's pay stubs that noted taxes withheld, HCA's Criminal Record Statement documentation, HCA's IRS Form W-4 Employee Withholding Certificate, and HCA's Home Care Aide Registry.

EA interviewed the former HCA and alleged independent contractor. The former HCA stated that she was an employee of the HCO and did not operate as an independent contractor as a caregiver of the HCO. The former HCA stated that she was furnished with pay stubs noting taxes withheld. (CONTINUED)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
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 2
Control Number 47-HC-20250204103654
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: LLL HEALTHCARE LLC
FACILITY NUMBER: 194700767
VISIT DATE: 03/20/2025
NARRATIVE
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EA also obtained copies of the pay stubs from the HCO. The HCO administrator denied the allegation and stated that she has never hired any HCAs as independent contractors.

Based on the EA's observations, interviews and records review, there was insufficient evidence to prove the
allegation as the preponderance of evidence standard was not met although the allegation may have
happened or is valid, therefore the allegation is found to be unsubstantiated. A copy of this report was
provided via electronic mail.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2