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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700088
Report Date: 05/16/2024
Date Signed: 05/16/2024 11:57:14 AM

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
02/22/2024 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20240222131127
FACILITY NAME:MATTHEW 25:40, INC. DBA RIGHT AT HOMEFACILITY NUMBER:
304700088
ADMINISTRATOR:ATWOOD, VERNONFACILITY TYPE:
300
ADDRESS:5252 ORANGE AVE STE. 209TELEPHONE:
(714) 249-4843
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY:CENSUS: DATE:
05/16/2024
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Grace AtwoodTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Home Care Aides do not have a fingerprint clearance or exemption
Home Care Aides are not approved on the Home Care Aide Registry
Home Care Aides do not have a tuberculosis (TB) clearance
Home Care Aides have not completed the required training hours
INVESTIGATION FINDINGS:
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On 5/16/2024, Home Care Services Analysts (HCSA), Mila Quinto conducted an investigation visit regarding the above complaint allegations. Upon arrival, HCSA met with designee, Grace Atwood.

The complainant alleged home care aids do not have fingerprint clearance or exemption; not approved on home care aide registry; do not have tuberculosis clearance and have not completed the required training hours.

During today’s visit, HCSA interviewed 3 staff including the licensee. According to 2 of the 3 staff, all newly hired home care aids are carefully screened and must have all the requirements which includes fingerprint clearance, home care aide registry, have current TB clearance and have all up to date training hours. According to staff 3 (S3) who does the recruitment and hiring of the home care aids states all requirements must be met prior to serving clients and HCA are advised they will be on a hold until the requirements are met.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
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-20240222131127
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: MATTHEW 25:40, INC. DBA RIGHT AT HOME
FACILITY NUMBER: 304700088
VISIT DATE: 05/16/2024
NARRATIVE
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HCSA reviewed 10 home care aid files and all files reviewed have fingerprint clearance, approved on home care registry, have current tuberculosis clearance and have completed the required training hours.

Based on interviews conducted and file review, the complaint alleging home care aids do not have a fingerprint clearance or exemption, not approved on home care aide registry; do not have tuberculosis clearance and have not completed the required training hours are found to be unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2