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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700057
Report Date: 04/29/2025
Date Signed: 04/29/2025 03:31:53 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
04/03/2025 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20250403153122
FACILITY NAME:COMFORT KEEPERS 629/962FACILITY NUMBER:
304700057
ADMINISTRATOR:BARRERA, AURORAFACILITY TYPE:
300
ADDRESS:7342 ORANGETHORPE AVE STE B111TELEPHONE:
(714) 521-1337
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:CENSUS: DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Aurora Barrera, LicenseeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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HCO is not providing services to client as contracted
INVESTIGATION FINDINGS:
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Enforcement Analyst (EA), Mila Quinto conducted a complaint inspection visit to deliver the finding of the above complaint allegation. EA met with the licensee, Aurora Barrera.

During the course of the investigation, EA interviewed the licensee and reviewed the client’s service agreement. According to the licensee, the assigned HCA to assist the client was 30 minutes late on a Friday and licensee offered the client a replacement. However, the client cancelled the service for that day. Licensee stated there were no other incidents.

EA reviewed the service agreement. The licensee stated the services indicated on the agreement are being provided to the client.


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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 2
Control Number 47-HC-20250403153122
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: COMFORT KEEPERS 629/962
FACILITY NUMBER: 304700057
VISIT DATE: 04/29/2025
NARRATIVE
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Based on the EA's interviews and records review, the complaint alleging HCO is not providing services to client as contracted is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report and appeal rights was emailed to the licensee.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2