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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700126
Report Date: 07/16/2024
Date Signed: 07/18/2024 08:49:46 AM

Document Has Been Signed on 07/18/2024 08:49 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:HOMEWATCH CAREGIVERS OF TEMECULAFACILITY NUMBER:
334700126
ADMINISTRATOR/
DIRECTOR:		TANYA FINNERTYFACILITY TYPE:
300
ADDRESS:43460 RIDGE PARK DR STE 200-GTELEPHONE:
(951) 474-0155
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY: CENSUS: DATE:
07/16/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Lucero MezaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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Home Care Services Bureau (HCSB) Analyst, Adrian Mangina arrived at the business office of Homewatch Caregivers of Temecula on July 16, 2024 for a post licensing inspection. Upon arrival, Analyst Mangina was greeted by Designee Lucero Meza. The proper posting of business hours and license was observed. The proof of insurance record was reviewed. The Analyst was then shown to an area where the review of personnel and administrative files could be performed. Designee was advised that all employees must have fingerprint clearances and negative TB tests (initial and every 2 years) and all Home Care Aides must additionally have signed SOC341 in file and have completed initial training consisting of two (2) hours Orientation and three (3) hours safety training prior to working with clients, and annually complete five (5) hours additional training prior to start date anniversary each year, as well as be registered and renewed biennially on the Home Care Aide Registry. Upon completion of the file review the analyst discussed the findings of the inspection with the Designee Meza. The analyst informed the representative named above of the deficiency found and explained it would be noted on the HCS809-D form. In addition, the Designee was provided a copy of the HCS9058 Appeal Rights form.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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Document Has Been Signed on 07/18/2024 08:49 AM - It Cannot Be Edited


Created By: Adrian L Mangina On 07/16/2024 at 02:30 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: HOMEWATCH CAREGIVERS OF TEMECULA
FACILITY NUMBER: 334700126

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2024
Section Cited
1796.44
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training:(a) A home care organization licensee shall ensure that prior to providing home care services, an affiliated home care aide shall complete the training requirements specified in this section.
(b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows:
(1) Two hours of orientation training regarding his or her role as caregiver and the applicable terms of employment.
(2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control.
(c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific, which shall include, but not be limited to, the following areas:
(1) Clients’ rights and safety.
(2) How to provide for and respond to a client’s daily living needs.
(3) How to report, prevent, and detect abuse and neglect.
(4) How to assist a client with personal hygiene and other home care services.
(5) If transportation services are provided, how to safely transport a client.
(d) The entry-level training and annual training described in subdivisions (b) and (c) may be completed through an online training program.
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This requirement was not met as evidenced by:
During the review of files, it was observed that reference #4, #8, #9 and #10 did not have complete training records, a finding which poses a potential health and safety risk to persons 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.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
LIC809 (FAS) - (06/04)
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