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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344700080
Report Date: 01/21/2026
Date Signed: 01/26/2026 03:46:32 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
01/09/2026 and conducted by Evaluator Megan Vigil
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260109150055
FACILITY NAME:ALICE CAREFACILITY NUMBER:
344700080
ADMINISTRATOR:TOMMASO ESMANECHFACILITY TYPE:
300
ADDRESS:8146 GREENBACK LN #106TELEPHONE:
(916) 292-8820
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:CENSUS: DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Jennie MartinezTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Home Care Aide administered medication to a client.
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 Vigil was greeted by Designee Allison Jepson. EA Vigil requested immediate access to the scheduling, databases, and conducted interviews and a comprehensive file review. During the investigation, EA Vigil identified clear and compelling evidence that HCO care staff knowingly approved a Home Care Aide (HCA) to participate in medical training provided by a nurse at a hospital. The training included flushing a PICC line, administering antibiotics, monitoring IV, and other related tasks. These activities are explicitly outside the scope of non-medical companion care and are prohibited for Home Care Aides. The approval and facilitation of such training by the HCO represents a serious violation of statutory requirements and demonstrates a fundamental failure to understand and comply with the limitations of non-medical home care services.
Throughout the course of the investigation, HCO staff were not forthcoming with accurate or complete information regarding the circumstances. Statements were inconsistent and directly contradicted documentation and other evidence reviewed. This lack of cooperation and transparency significantly impeded the investigative process and further supports the severity of the compliance failures identified.
The Licensee arrived during the visit to review the discrepancy report and to discuss the required Plan of Correction. Due to the seriousness of the violations, including the authorization of medical services outside the scope of non-medical companion care, applicable Health and Safety Code sections were cited.
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: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
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 2
Control Number 47-HC-20260109150055
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: ALICE CARE
FACILITY NUMBER: 344700080
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/21/2026
Section Cited
1796.12 (n)
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…This subdivision 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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Licensee will discontinue the administration of medication to all clients. Any clients who do not have the means to manage their own medication must be directed by Licensee to seek assistance from friends/family members or solicit this service from a licensed health care professional.
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Based on the information obtained, it was determined that the Home Care Organization (HCO) is providing medical services to client. 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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The Licensee will develop and implement training for all employees that clearly identifies medical services that cannot be performed under the Home Care Organization license. The training will include disciplinary policies and procedures in which HCAs are asked to perform services not allowed. All current and future employees will complete the training and sign an acknowledgment under penalty of perjury confirming receipt and understanding prior to providing services. The Licensee will maintain all signed acknowledgments on file and available for review upon request. A record of all employees and completed training dates will be submitted to megan.vigil@dss.ca.gov by due date of 2/21/26.
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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: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
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