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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700386
Report Date: 02/05/2026
Date Signed: 02/05/2026 03:19:35 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
12/31/2025 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20251231161425
FACILITY NAME:CARING HANDS FOR SENIORSFACILITY NUMBER:
304700386
ADMINISTRATOR:ROXAS, RAQUELFACILITY TYPE:
300
ADDRESS:1440 N. HARBOR BLVD. STE 900TELEPHONE:
(714) 813-2832
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:CENSUS: DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Raquel Roxas, LicenseeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Home Care Aide do not have 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, Raquel Roxas.
On 1/15/26, EA interviewed the licensee. According to the licensee, Staff 1 (S1) would sometimes help a client for approximately 2-3 hours. Licensee states S1 only worked with 1 client.
EA Quinto received copy of staff roster from July 2025 thru December 2025. According to the records, S1 was not on the list. Per guardian check, no record of fingerprint clearance for S1.
Based on EA’s interview with the licensee and record review, the following violation is being cited in acordance with Health and Safety Code Health and Safety Code, Division 2, Chapter 13, Section 1796.43 (a) Employees, Volunteers, and Affiliated Home Care Aide Requirements. See HCS 809D.

A copy of this report and appeals rights were provided to the licensee, Raquel Roxas via email.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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
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
12/31/2025 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20251231161425

FACILITY NAME:CARING HANDS FOR SENIORSFACILITY NUMBER:
304700386
ADMINISTRATOR:ROXAS, RAQUELFACILITY TYPE:
300
ADDRESS:1440 N. HARBOR BLVD. STE 900TELEPHONE:
(714) 813-2832
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:CENSUS: DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Raquel Roxas, LicenseeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
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9
Home Care Aide are administering medication to clients.
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, Raquel Roxas.
On 1/15/25, EA interviewed the licensee. According to the licensee, the HCAs do not administer medications to clients. Per licensee, the family member will prepare the medications and provide assistance to the client.
EA Quinto reviewed the client’s file and according to the client's contract, do not show administration of medications.
Based on the EA's observations, interviews and records review, there was insufficient evidence to prove the allegation as the preponderance of evidence standard was not met although the allegation may have happened or is valid, the allegation is found to be unsubstantiated.

Exit interview was conducted and a copy of this report was emailed to the licensee, Raquel Roxas via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 47-HC-20251231161425
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: CARING HANDS FOR SENIORS
FACILITY NUMBER: 304700386
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2026
Section Cited
1796.43(a)
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1796.43 Employees, Volunteers, and Affiliated Home Care Aide Requirements
(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.
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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 2/12/26.
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This requirement is not met as evidenced by: Based on interview with licensee and file review, S1 did not have an active background clearance and do not have clearance on the home care registry.
This poses an immediate 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: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3