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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344700040
Report Date: 09/16/2025
Date Signed: 10/01/2025 01:05:20 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
08/27/2025 and conducted by Evaluator Megan Vigil
COMPLAINT CONTROL NUMBER: 47-HC-20250827120757
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:
09/16/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Ken BallardTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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 The Home Care Organization provided medical services outside the scope of their license. Specifically, staff have been directed to perform non-allowable tasks, including G-tube feeding, catheter care and administering medication to clients.
INVESTIGATION FINDINGS:
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Megan Vigil arrived at the location of the Home Care Organization (HCO) for the purpose of conducting a complaint investigation.

EA was greeted by Licensees Ken and Carrie Ballard. During the investigation, EA interviewed the complainant, HCO personnel, and other relevant parties. Based on these interviews, it was determined that Home Care Aides (HCAs) were administering medication, providing G-tube feedings, and performing catheter care. Although Ken and Carrie Ballard denied knowledge of these services, evidence obtained during the investigation contradicted their statements.

Based on observations, interviews, and record review, the preponderance of evidence standard has been met. Therefore, the allegation is substantiated. An exit interview was conducted, and the 9099 and 9099D reports, along with appeal rights, were provided to the Licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
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 2
Control Number 47-HC-20250827120757
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: GOLDEN YEARS HOME CARE SOLUTIONS, INC.
FACILITY NUMBER: 344700040
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/14/2025
Section Cited
1796.12
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...(n) “Home care services” means nonmedical services and assistance provided by a registered home care aide to a client who, ...shall not authorize a registered home care aide to assist with medication that the client self-administers that would otherwise require administration or oversight by a licensed health care professional.
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The Licensee will conduct re-training with all Home Care Aides (HCAs) on Health and Safety Code section 1796.12(n). The training will specifically review the permissible non-medical services that may be provided under Home Care Organization (HCO) licensure.
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Based on the information obtained, it was determined that the Home Care Organization (HCO) is offering medical services to the public. This practice exceeds the scope of care authorized under home care services licensure and poses an immediate health and safety risk to clients in care.
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Each HCA will be required to sign and date the training outline to acknowledge they have read, understood, and agree to comply with the statutory requirements. A copy of the signed training outline will be submitted via email to the Enforcement Analyst by the POC due date.
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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: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
LIC9099 (FAS) - (06/04)
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