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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364700132
Report Date: 01/26/2026
Date Signed: 01/26/2026 12:26:49 PM

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
12/15/2025 and conducted by Evaluator Jane Cong-Huyen
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20251215224432
FACILITY NAME:FOREVER WAYS CAREFACILITY NUMBER:
364700132
ADMINISTRATOR:BERNARDO, EMILEEFACILITY TYPE:
300
ADDRESS:3902 E MARRO PRIVADOTELEPHONE:
(909) 456-9449
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:CENSUS: DATE:
01/26/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Emilee Bernardo, LicenseeTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
HCO is not providing services to client as contracted

HCO is providing medical services



INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 26, 2025, Home Care Services Branch (HCSB) Enforcement Analyst (EA) Jane Cong-Huyen met with licensee, Emilee Bernardo, for the purpose of a complaint visit regarding the above allegations.

During the investigation, EA conducted interviews, reviewed staff and client list, client service agreements, client care plan/assessments, call logs, and other information pertaining to the above allegations. Through investigation, there was not enough proof to show that the HCO is providing medical services to clients nor the services were not provided as contracted to client in care. There is not a preponderance of the evidence to prove that the alleged violations have occurred, therefore the above allegations are found to be UNSUBSTANTIATED. No violation cited during today's visit.

Exit interview conducted and a copy of the report and appeal rights were provided to licensee, Emilee Bernardo, via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
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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