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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700790
Report Date: 12/05/2025
Date Signed: 12/11/2025 04:43:49 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
11/26/2025 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20251126124439
FACILITY NAME:LIFE CARE PROVIDERSFACILITY NUMBER:
194700790
ADMINISTRATOR:PARIENTE, JESSICAFACILITY TYPE:
300
ADDRESS:8889 W OLYMPIC BLVD, PENTHOUSETELEPHONE:
(310) 801-7161
CITY:BEVERLY HILLSSTATE: ZIP CODE:
90211
CAPACITY:CENSUS: DATE:
12/05/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Leonirita Bouvier - LicenseeTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Home Care Organization is utilizing 1099 independent contractor
INVESTIGATION FINDINGS:
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On 12/5/25, Home Care Services Branch Enforcement Analyst (EA), Ryan Chan conducted an investigation visit regarding the above complaint allegation. Upon arrival, EA met with licensee Leonirita Bouvier.

During today's visit EA interviewed licensee who admitted she had employed home care aides as 1099 contractors in the past at the request of the caregiver, licensee stated she did this to help the caregiver. Licensee stated she has since stopped this practice because she found out it is not allowed as a licensed home care organization. Licensee stated those home care aides are no longer employed at her home care organization.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.42 (b) is being cited on the attached LIC 9099D.
(see pg 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
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-20251126124439
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: LIFE CARE PROVIDERS
FACILITY NUMBER: 194700790
VISIT DATE: 12/05/2025
NARRATIVE
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Page 2


EA concluded the visit with an exit interview and provided a copy of this report along with appeal rights to the licensee.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 47-HC-20251126124439
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: LIFE CARE PROVIDERS
FACILITY NUMBER: 194700790
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/09/2025
Section Cited
1796.42 (b)
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1796.42 (b) A home care organization licensee shall do all of the following:
(b) Maintain and abide by a valid workers’ compensation policy covering its affiliated home care aides.
This requirement is not met as evidenced by:
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Licensee will provide EA Chan with a statement that home care aides (HCA) previously employed as 1099 no longer work for her and moving forward licensee will no longer employ home care aides as 1099, the statement will be emailed to ryan.chan@dss.ca.gov
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Based on interview with lcensee, she employed 1099 workers in the past which poses a potential risk to the health and safety of home care aides.
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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: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3