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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374700093
Report Date: 07/28/2026
Date Signed: 07/28/2026 02:47:20 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
07/21/2026 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260721074034
FACILITY NAME:GOLDEN CAREFACILITY NUMBER:
374700093
ADMINISTRATOR:PORSHA VOGTFACILITY TYPE:
300
ADDRESS:8911 LA MESA BLVD STE 104TELEPHONE:
(760) 828-5201
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:CENSUS: DATE:
07/28/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH: Pristine BerryTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
HCO is not providing services to client as contracted
INVESTIGATION FINDINGS:
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Home Care Services Branch, Enforcement Analyst (EA), Adrian Mangina conducted an investigation visit to the Home Care Organization (HCO) to deliver findings regarding the allegation above. EA met with the Designee, Pristine Berry.

Per interview with the licensee, the Home Care Organization clients sign a service agreement which outlines services to be provided and an hourly rate. Licensee stated that a recent client was unwilling to pay the agreed upon price and Licensee advised that they look for another HCO who could better meet their needs as Golden Care could not provide the services at the price client was willing to pay. Based on the EA's interview and review of records, there was insufficient evidence to prove the allegation did occur as the preponderance of evidence standard was not met. Although the allegation may have happened or is valid, the allegation is unsubstantiated.

An exit interview was conducted. A copy of this report was emailed to the Designee, Pristine Berry.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
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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