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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700330
Report Date: 06/24/2025
Date Signed: 06/24/2025 01:27:08 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
06/13/2025 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20250613103646
FACILITY NAME:SENIOR HELPERS OF SOUTH ORANGE COUNTYFACILITY NUMBER:
304700330
ADMINISTRATOR:MUNOZ, HECTOR A.FACILITY TYPE:
300
ADDRESS:15375 BARRANCA PKWY STE B-201TELEPHONE:
(949) 749-2273
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:CENSUS: DATE:
06/24/2025
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Sandra Munoz, designeeTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
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9
Home Care Aides are administering medication to clients
INVESTIGATION FINDINGS:
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5
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9
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13
Enforcement Analyst (EA), Mila Quinto conducted a complaint inspection visit regarding the above complaint allegation. EA met with the designee, Sandra Munoz.

EA conducted an interview with the designee. According to the designee, they do not provide medical services to clients. The designee stated under the HCO brochure includes services they cannot provide which includes medication administration.

Based on the EA's observation, interview and records review, there was insufficient evidence to prove the allegation did occur as the preponderance of evidence standard was not met. Although the allegation may have happened or is valid, the allegation is unsubstantiated.

An exit interview was conducted. A copy of this report was emailed to the designee, Sandra Munoz.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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