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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700244
Report Date: 06/26/2026
Date Signed: 06/26/2026 01:51:46 PM

Document Has Been Signed on 06/26/2026 01:51 PM - 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:MAJESTIC CARE SOLUTIONS LLCFACILITY NUMBER:
334700244
ADMINISTRATOR/
DIRECTOR:		PETTIE, MARKFACILITY TYPE:
300
ADDRESS:74000 COUNTRY CLUB DR STE G1TELEPHONE:
(760) 880-6320
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: CENSUS: DATE:
06/26/2026
Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Maribel Arlenne PettieTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 6-26-26, Enforcement Analyst (EA) Adrian Mangina with Home care Services Bureau (HCSB) conducted a Case Management - Deficiencies inspection for the purpose of issuing a citation for failure to obtain fingerprint clearances for staff as required by statute.

EA obtained information on the company's website that there are two organization staff (Staff 1 and Staff 2) who have client contact and are not fingerprint cleared and four staff are not affiliated on the Home Care Aide Registry. Licensee is being cited under Health and Safety Code 1796.43(a)(1) on the attached HCS809-D.

EA conducted an exit interview with Designee Maribel Arlenne Pettie and provided a copy of this report (HCS809) and Appeal Rights (HCS9059) to Licensee Mark Pettie via email.

NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2026
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 06/26/2026 01:51 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 06/26/2026 at 07:15 AM
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
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: MAJESTIC CARE SOLUTIONS LLC
FACILITY NUMBER: 334700244

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2026
Section Cited
1796.43(a)(1)
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Employees, Volunteers, and Affiliated Home Care Aide Requirements: Home care will 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.
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This requirement was not met as evidenced by: during a review of records, Licensee did not provide proof of fingerprint clearance for staff #1 and staff #2, who are listed as employees on the Organization website, a finding which poses an immediate health and safety risk to persons in care.
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Type A
06/29/2026
Section Cited
1796.43(a)
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EMPLOYEES, VOLUNTEERS, AND AFFILIATED HOME CARE AIDE REQUIREMENTS: 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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This requirement was not met as evidenced by: During the review information provided, Licensee did not provide proof that reference #3, #4, #5, and #6 are affiliated with the Home Care Organization on the Home Care Aide registry, a finding which poses an immediate 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: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2026
LIC809 (FAS) - (06/04)
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