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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364700157
Report Date: 10/01/2025
Date Signed: 10/01/2025 01:45:39 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
09/24/2025 and conducted by Evaluator Jane Cong-Huyen
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250924120250
FACILITY NAME:COMFORT CHOICE HEALTHCAREFACILITY NUMBER:
364700157
ADMINISTRATOR:JUSTIN LARSENFACILITY TYPE:
300
ADDRESS:6729 HERMOSA AVE. #141TELEPHONE:
(323) 272-2446
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91701
CAPACITY:CENSUS: DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Joyce "JJ" Garcia, DesigneeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Home Care Aides do not have a fingerprint clearance.
INVESTIGATION FINDINGS:
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On 10/1/25, Home Care Services Branch Enforcement Analyst (EA), Jane Cong-Huyen conducted an investigation visit regarding the above complaint allegation. EA met with the designee, Joyce "JJ" Garcia.
During today's inspection, EA conducted interviews, reviewed files, and gathered information.

Based on interviews conducted and information gathered: staff roster, fingerprint clearance roster; the preponderance of evidence standard has been met showing one of the Home Care Aides has been working with clients prior to having fingerprint clearance, therefore, the above allegation is found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.23 is being cited on the attached LIC 9099D.

EA concluded the visit with an exit interview and a copy of this report will be provided along with appeal rights to the designee, Joyce "JJ" Garcia, via email.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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-20250924120250
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: COMFORT CHOICE HEALTHCARE
FACILITY NUMBER: 364700157
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/02/2025
Section Cited
1796.23(a)
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1796.23(a) - Fingerprint Clearance: Each person initiating a background examination to be a registered home care aide shall submit their fingerprints to the Department of Justice by electronic transmission in a manner approved by the department, unless exempt under subdivision (d). This requirement is not met as evidence by
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The HCO will ensure that these staff will not be working with clients until their fingerprint has been cleared. Licensee will provide proof of fingerprint clearances or proof stating staff is no longer working for the HCO for staff #4 by Wednesday 10/22/2025 via email to analyst Jane.cong-huyen@dss.ca.gov.
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Based on interviews & files reviews, HCA #4 does not have completed fingerprint clearance. Home Care Aides did not complete the fingerprint clearance process prior to providing services to the public. This poses an immediate health and safety risk to clients 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.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
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