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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700816
Report Date: 03/27/2024
Date Signed: 03/27/2024 04:39:01 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
01/09/2024 and conducted by Evaluator Ruben Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20240109142418
FACILITY NAME:24HR HOMECARE L.L.C.FACILITY NUMBER:
194700816
ADMINISTRATOR:HAMILTON, YAZMINFACILITY TYPE:
300
ADDRESS:200 N PACIFIC COAST HWY STE300TELEPHONE:
(310) 504-5619
CITY:EL SEGUNDOSTATE: CAZIP CODE:
90245
CAPACITY:CENSUS: DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Melissa ZuluagaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
HCO is not adhering to their contract.
INVESTIGATION FINDINGS:
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Associate Governmental Program Analysts (AGPA) Ruben Perez, Ramsey Chimienti, and Todd Borcher arrived at the business address to meet with Melissa Zuluaga, designee for 24HR HomeCare located at 200 N. Pacific Coast HWY, Suite 300, El Segundo, CA to discuss the above complaint allegation. Designee, Melissa, greeted the analysts and showed them to an area where interviews and documents could be reviewed. Melissa was able to provide the following documentation: client service agreement, which included agreed upon policies in the event of service interruption, employee handbook that covers attendance and punctuality requirements set forth by the company.

The Analysts concluded that there was not conclusive evidence to substantiate the above allegation. The analysts delivered the findings to, Designee, Melissa Zuluaga. Based on the preponderance of evidence gathered through interviews conducted, evidence obtained and observations, the above allegation was found to be UNSUBSTANTIATED. An exit interview was conducted, and the licensing reports as well as the appeal rights documents were provided to the designee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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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