<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700121
Report Date: 04/10/2024
Date Signed: 04/11/2024 01:32:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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
10/10/2023 and conducted by Evaluator Ramsey Chimienti
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20231010090113
FACILITY NAME:HEALTHY AT HOME CAREGIVERSFACILITY NUMBER:
304700121
ADMINISTRATOR:CHIKUTURUDZI, PATRICIAFACILITY TYPE:
300
ADDRESS:24672 SAN JUAN AVE, SUITE 206TELEPHONE:
(949) 340-2617
CITY:DANA POINTSTATE: ZIP CODE:
92629
CAPACITY:CENSUS: DATE:
04/10/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Patricia ChikuturudziTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Home Care Organization is utilizing 1099 independent contractors for caregiving shifts.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Home Care Services Branch (HCSB) Analysts, Ramsey Chimienti and Mila Quinto, arrived at the business address for Healthy at Home Caregivers on 4/11/24. Analysts Chimienti and Quinto introduced themselves and were greeted by Patricia Chikuturudzi. The analyst explained that they were there to investigate the above complaint allegation. Analysts Chimienti and Quinto interviewed Patricia regarding her company’s onboarding process for caregivers including background check and registration on the Home Care Aide (HCA) Registry. The analysts also reviewed personnel files, payroll and tax reporting documents to ensure licensing requirements are met. The documentation demonstrated that the Home Care Organization is utilizing W2 forms for all HCAs.
Based on the evidence obtained and interviews conducted, Analysts Chimienti and Quinto concluded that there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Analysts concluded the visit with an exit interview and provided a copy of the HCS 9099 investigation report along with appeal rights to the Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
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