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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700318
Report Date: 08/15/2024
Date Signed: 08/15/2024 12:38:47 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
03/25/2024 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20240325092750
FACILITY NAME:ASSISTING HANDS LAGUNA HILLSFACILITY NUMBER:
304700318
ADMINISTRATOR:RICHARD HARRISONFACILITY TYPE:
300
ADDRESS:27285 LAS RAMBLAS, SUITE 100TELEPHONE:
(949) 216-3900
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:CENSUS: DATE:
08/15/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Amy Harrison, DesigneeTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Home Care Aide does not have a fingerprint clearance or exemption prior to caring for clients.
Home Care Aides are not registered on the Home Care Aide Registry prior to caring for clients.
INVESTIGATION FINDINGS:
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On August 15, 2024, Home Care Services Analysts (HCSA), Mila Quinto conducted an investigation visit regarding the above complaint allegations. Upon arrival, Analyst met with Designee, Amy Harrison.

The complainant alleged Home Care Aides does not have a fingerprint clearance or exemption prior to caring for clients and Home Care Aides are not registered on the Home Care Aide Registry prior to caring for clients.

During today’s visit, Analyst interviewed the designee, Amy Harrison. According to the designee, they have hired home care aides while the criminal background is pending. Staff 1 (S1) is currently waiting for the criminal background clearance. However, due to the client demands and the needs for home care aids, S1 began working in May 2024. Designee stated there were some homecare aids who worked with clients with pending criminal background. This is due to low volume of home care aides available and meeting the clients needs.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 3
Control Number 47-HC-20240325092750
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: ASSISTING HANDS LAGUNA HILLS
FACILITY NUMBER: 304700318
VISIT DATE: 08/15/2024
NARRATIVE
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Page 2 of 2

Based on the Analyst interview with the designee and record review, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. Health and safety code is being cited on the attached HCS 9099D. The 9099 and 9099D reports along with appeal rights were provided to the designee via email.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 47-HC-20240325092750
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: ASSISTING HANDS LAGUNA HILLS
FACILITY NUMBER: 304700318
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/15/2024
Section Cited
1796.23(a)
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1796.23 Fingerprint Requirements
(a) Each person initiating a background examination to be a registered home care aide shall submit their fingerprints to the Department of Justice...in a manner approved by the department..
This requirement is not met as evidenced by:
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Analyst informed the designee, all HCA without background clearance must not care for clients. Effective immeidately, the Designee stated S1 will not continue to care for clients while criminal background is pending. The designee will also provide a plan of correction statement to submit to analyst, gabriella.chavez@dss.ca.gov
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Based on interview and self disclosure of the designee, there were some home care aids who worked with clients while the criminal background is pending/in process.
This poses an immediately health and safety risk to clients in care
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Type A
08/15/2024
Section Cited
1796.43(a)
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1796.43(a) Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients.
This requirement is not met as evidenced by:
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Analyst informed the designee, all HCA not registered on the home care registry may not care for clients. Effective immeidately, the Designee stated S1 will not continue to care for clients while criminal background is pending. The designee will also provide a plan of correction statement to submit to analyst, gabriella.chavez@dss.ca.gov
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Based on interview and self disclosure of the designee, there were some home care aids who worked with clients while the criminal background is pending/in process.
This poses an immediately 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: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3