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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364700157
Report Date: 03/06/2026
Date Signed: 03/06/2026 02:57:39 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
02/11/2026 and conducted by Evaluator Jane Cong-Huyen
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260211084857
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:
03/06/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jocelyn "Jajay" Garcia - ManagerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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HCO is not providing services to client as contracted
INVESTIGATION FINDINGS:
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On 3/6/26, Home Care Services Branch (HCSB) Enforcement Analyst (EA) Jane Cong-Huyen arrived at the Home Care Organization (HCO) - Comfort Choice Healthcare for the purpose of completing a complaint investigatioon and delivering the finding. EA met with manager, Jajay Garcia.
It was alleged that the HCO is not providing services to client as contracted. During the investigation, EA learned staff #2 & #3 did not change the client’s diaper due to client being difficult to the staff. Client was left in soiled diaper/clothes for almost 2 hours. EA also learned through investigation that service was stopped without any written notice to the client's family. Service was resumed the next day but there was a gap in no services for a day. This incident occurred due to the staff not properly trained to handle difficult or combative clients in difficult situations which violiated the client's rights and daily living needs. All staff should be properly trained to handle different types of clients & in difficult situations to provide & ensured health & safety to clients in care. Based on interviews conducted and information gathered, the above allegation is found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Section 1796.44 (c) has been violated and is being cited on the attached LIC9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
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-20260211084857
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: 03/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2026
Section Cited
1796.44 (c)
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1796.44 In addition to the requirements in subdivision (b), an affiliated home care aides shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific, which shall include Client’s rights & safety, how to provide client’s daily living needs and assist a client with personal hygiene & other home care services.
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HCO will provide proof of training for all staff regarding client’s rights/safety, daily living needs, personal hygiene and other home care services. HCO will send proof of staff training including the topics & staff sign in sheet to EA Jane.cong-huyen@dss.ca.gov.before/by due date of 3/13/26.
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This requirement is not met as evidenced by staff # 2 &3 were not properly trained & failed to change/clean, leaving client in soiled clothes which violated to assist client's personal hygiene/care services. HCO failed to provide service when still on contract, violated client's rights/safety. This poses a potential health and safety risk to the client.
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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: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
LIC9099 (FAS) - (06/04)
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