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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344700040
Report Date: 09/25/2024
Date Signed: 09/26/2024 08:53:06 AM

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
09/17/2024 and conducted by Evaluator Megan Vigil
COMPLAINT CONTROL NUMBER: 47-HC-20240917164047
FACILITY NAME:GOLDEN YEARS HOME CARE SOLUTIONS, INC.FACILITY NUMBER:
344700040
ADMINISTRATOR:BALLARD, CARRIEFACILITY TYPE:
300
ADDRESS:8920 EMERALD PARK DR., STE D1TELEPHONE:
(916) 333-0383
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:CENSUS: DATE:
09/25/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Danielle ToluwanimiTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Home Care Aides have not completed the required training hours.

.Home Care Organization is using independent contractors as caregivers.
INVESTIGATION FINDINGS:
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Enforcement Analyst (EA), Megan Vigil arrived at the business office of Golden Years Home Care Solutions, INC. to investigate the above allegations.

EA, Vigil was greeted by Designee, Danielle Toluwanimi. EA, Vigil requested payroll, schedule, and training transcripts for the last quarter for all employees. The file review was completed, and no discrepancies were found in the training for the Home Care Aides (HCA). There are no HCA’s working as independent contractors for the Organization.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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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