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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700138
Report Date: 11/20/2025
Date Signed: 11/20/2025 10:14:54 AM

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
10/01/2025 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20251001084430
FACILITY NAME:FORESIDE MANAGEMENT COMPANY DBA FORESIDE HOME CAREFACILITY NUMBER:
304700138
ADMINISTRATOR:MARK WOODSUMFACILITY TYPE:
300
ADDRESS:26023 ACEROTELEPHONE:
(949) 837-7000
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:CENSUS: DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mark Woodsum, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Home Care Organization is allowing Home Care Aides to work with clients prior to obtaining a fingerprint clearance
INVESTIGATION FINDINGS:
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Home Care Services Branch, Enforcement Analyst (EA), Mila Quinto conducted an investigation visit to the Home Care Organization (HCO) to deliver the complaint finding regarding the above allegation. EA met with licensee, Mark Woodsum.
On 10/23/25, EA interviewed the licensee. The licensee stated they have approximately 131 HCAs and have all the requirements. They also have approximately 20 office staff.
EA Quinto received an email from designee, Jessica Filice providing a list of current HCAs and office staff. The list included a total of 28 office staff; 6 staff have active background clearance. 10 staff obtained background clearance on 10/24/25 and 10/29/25; 1 staff was not eligible for clearance/exemption denial; 1 staff had a closed live scan as of 2018; 9 staff do not see clients nor have access to client files.
Based on EA’s interview with the licensee and record review, the following violation is being cited in accordance with Health and Safety Code Health and Safety Code, Division 2, Chapter 13, Section 1796.43 (a1) Employees, Volunteers, and Affiliated Home Care Aide Requirements. See HCS 809D.
A copy of this report and appeals rights were provided to the licensee, Mark Woodsum via email.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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-20251001084430
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: FORESIDE MANAGEMENT COMPANY DBA FORESIDE HOME CARE
FACILITY NUMBER: 304700138
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/26/2025
Section Cited
1796.43(a1)
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1796.43 Employees, Volunteers, and Affiliated Home Care Aide Requirements
(1) Ensure any staff person, volunteer, or employee of a home care organization who has contact with clients, prospective clients, or confidential client information that may pose a risk to the clients’ health and safety has met the requirements of Sections 1796.23, 1796.24, 1796.25, 1796.26, and 1796.28 before there is contact with clients or prospective clients or access to confidential client information.
This requirement is not met as evidenced by:
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Licensee will submit a written proof of correction (POC) indicating understanding of the regulation requirements and a plan in place to prevent violation. Licensee will email POC to EA Quinto at mila.quinto@dss.ca.gov by due date of 11/26/25.
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Based on interview and file review, 12 staff members who have access to clients files did not have a background clearance prior to the the initial visit on 10/23/25. This poses an immidiate health and safety risk to clients 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: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2