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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214700001
Report Date: 01/29/2026
Date Signed: 02/06/2026 02:15:37 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
01/16/2026 and conducted by Evaluator Yolanda Hankerson
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260116161731
FACILITY NAME:ACCLAIM HOME CARE INC.FACILITY NUMBER:
214700001
ADMINISTRATOR:LEILANIE YOUNGFACILITY TYPE:
300
ADDRESS:4340 REDWOOD HIGHWAY A14TELEPHONE:
(415) 479-5184
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:CENSUS: DATE:
01/29/2026
UNANNOUNCEDTIME BEGAN:
09:57 AM
MET WITH:Randy De LeonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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HCO is operating outside the scope of their license.
INVESTIGATION FINDINGS:
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The Licensee provided medication administration services to clients. Although the Licensee stated that medication was administered by nurses and not by Home Care Aides (HCAs), the administration of medication constitutes a medical service. Home Care Organizations are limited to providing non-medical services as defined in Health and Safety Code section 1796.12(n). The use of licensed nurses does not authorize a Home Care Organization to provide or arrange medical services. The Licensee exceeded the scope of permitted home care services.The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. The organization is being cited on the attached HCS 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Yolanda Hankerson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
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 2
Control Number 47-HC-20260116161731
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: ACCLAIM HOME CARE INC.
FACILITY NUMBER: 214700001
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2026
Section Cited
1798.12
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(n)Home care services” means nonmedical services and assistance provided by a registered home care aide to a client who, because of advanced age or physical or mental disability, cannot perform these services. These services enable the client to remain in his or her residence and include,...
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Licensee has stated that their Home Care Organization (HCO) will discontinue the administration of medication to all clients. Any clients who do not have the means to manage their own medication must be directed by the HCO to seek assistance from friends/family..
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This subdivision shall not authorize registered home care aide to assist with medication that the client self-administers that would otherwise require administration or oversight by a licensed health care professional.
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members or solicit this service from a licensed health care professional.
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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: Yolanda Hankerson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
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