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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700881
Report Date: 11/14/2023
Date Signed: 12/06/2023 11:18:19 AM

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
08/01/2023 and conducted by Evaluator Ruben Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20230801143301
FACILITY NAME:VIRTUE HOME CARE INCFACILITY NUMBER:
194700881
ADMINISTRATOR:MARGERUM, TARAFACILITY TYPE:
300
ADDRESS:1641 S RIMHURST AVETELEPHONE:
(818) 649-4915
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY:CENSUS: DATE:
11/14/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Tara MargerumTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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HCO has ad on Facebook to recruit caregivers as 1099
INVESTIGATION FINDINGS:
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On 11/14/2023, Associate Governmental Program Analysts (AGPA) Ruben Perez met with Owner, Tara Margerum of the Home Care Organization (HCO), Virtue Homecare, located at 1641 S Rimhurst Ave, Glendora, CA 91740 regarding the allegation above. Tara admitted to using a 1099 contract and understood that every caregiver needs to be a W2 employee. In addition, 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.

Based on AGPA's observations and interviews, the preponderance of evidence standard has been met,
therefore, the above allegation is found to be SUBSTANTIATED. Health and Safety Code. Article 7.
Section 1742.(b), is being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2023
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-20230801143301
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: VIRTUE HOME CARE INC
FACILITY NUMBER: 194700881
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2023
Section Cited
1746.42 (b)
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All employees are required by California law to be W2 employees if working as a caregiver for a Home Care Organization.
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.

Tara admitted to using 1099 contracts.
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Provide proof of conversion of all 1099 employees to W2 and send to Michael.Drake@dss.ca.gov
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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: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2