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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194701012
Report Date: 07/15/2026
Date Signed: 07/15/2026 09:20:19 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
07/02/2026 and conducted by Evaluator Joshua Rarela
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260702104642
FACILITY NAME:SENIOR HELPERS SOUTH VALLEYFACILITY NUMBER:
194701012
ADMINISTRATOR:ABISROR, SLADEFACILITY TYPE:
300
ADDRESS:16250 VENTURA BLVD STE 115TELEPHONE:
(323) 320-4770
CITY:ENCINOSTATE: ZIP CODE:
91436
CAPACITY:CENSUS: DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Elizabeth OrozcoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Home Care Aide was not registered into the HCA Registry Database prior to service
INVESTIGATION FINDINGS:
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an onsite
inspection for the purpose of a Complaint Investigation. The EA met with the Home Care Organization (HCO)
representative named above.

During the course of the investigation, EA interviewed HCO personnel and reviewed records including personnel files such as job duty statements and job expectations, mandatory Home Care Aide (HCA) training history, HCA termination letter, HCA Registry Database and HCO Guardian Employee and HCA Associations.

According to the HCO, the individual named in the complaint was previously employed as a Home Care Aide (HCA) to provide home care services; however, their employment with the HCO has since been terminated. A review of the records at the HCO indicates that the HCO began dispatching the HCA in January 2026.

(CONTINUED)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
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 5
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
07/02/2026 and conducted by Evaluator Joshua Rarela
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260702104642

FACILITY NAME:SENIOR HELPERS SOUTH VALLEYFACILITY NUMBER:
194701012
ADMINISTRATOR:ABISROR, SLADEFACILITY TYPE:
300
ADDRESS:16250 VENTURA BLVD STE 115TELEPHONE:
(323) 320-4770
CITY:ENCINOSTATE:ZIP CODE:
91436
CAPACITY:CENSUS: DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Elizabeth OrozcoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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9
Home Care Aide administered medication to a client
INVESTIGATION FINDINGS:
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12
13
Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an onsite
inspection for the purpose of a Complaint Investigation. The EA met with the Home Care Organization (HCO)
representative named above.

During the course of the investigation, EA interviewed HCO personnel reviewed records including personnel files such as job duty statements and job expectations, mandatory Home Care Aide (HCA) training history, the HCA Registry Database and HCO Guardian Employee and HCA Associations.

The HCO stated that the individual named in the complaint was primarily employed as a Home Care Aide (HCA) to deliver home care services, but is no longer with the organization. The HCO denies authorizing or permitting HCAs to provide medical services to clients. This is supported by HCA job duty statements, which explicitly restrict care to non-medical services, and training histories confirming that caregivers are not trained in medical tasks. (CONTINUED)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 47-HC-20260702104642
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: SENIOR HELPERS SOUTH VALLEY
FACILITY NUMBER: 194701012
VISIT DATE: 07/15/2026
NARRATIVE
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(CONTINUATION)

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 and appeal rights were provided via electronic mail.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 47-HC-20260702104642
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: SENIOR HELPERS SOUTH VALLEY
FACILITY NUMBER: 194701012
VISIT DATE: 07/15/2026
NARRATIVE
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(CONTINUATION)

The EA reviewed California Department of Social Services (CDSS) Guardian database records and verified that the HCA obtained active HCA Registry status in July 2026; however, despite prepayment of the registration fee in November 2025, the HCO non-complied by deploying the caregiver before this active status was secured.

Based on the EA's observations, interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. An exit interview was conducted. A copy of this report, HCS9099-D for deficiency, and appeal rights were provided.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 47-HC-20260702104642
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: SENIOR HELPERS SOUTH VALLEY
FACILITY NUMBER: 194701012
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/22/2026
Section Cited
1796.43(a)
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(a) 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.
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The HCA was subsequently granted active registry status but is no longer employed by the HCO. Consequently, there is no further follow-up needed at this time. To ensure systemic compliance, the EA audited additional HCA files and verified that current aides maintain active HCA registry status.
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This requirement was not met as evidenced by:

Based on records review, the HCO permitted the HCA to work shifts prior to their official approval in the HCA registry database which poses an immediate Health and Safety risk to persons 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.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Joshua Rarela
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5