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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374700279
Report Date: 11/26/2025
Date Signed: 11/26/2025 10:41:34 AM

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
11/03/2025 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20251103172251
FACILITY NAME:A CARE BEYOND MEASUREFACILITY NUMBER:
374700279
ADMINISTRATOR:SANTAYANA, CECILIAFACILITY TYPE:
300
ADDRESS:1724 DOWNS STTELEPHONE:
(800) 486-4431
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:CENSUS: DATE:
11/26/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Cecelia SantayanaTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
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8
9
HCO is not providing services to client as contracted.
INVESTIGATION FINDINGS:
1
2
3
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5
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8
9
10
11
12
13
On November 26, 2025, Enforcement Analyst (EA) conducted a complaint visit for the purpose of delivering findings for the above allegation. Upon arrival, Designee Cecilia Santayana granted EA access to the Home Care Organization (HCO).

EA interviewed Designee Santayana who provided copies of caregiver schedules and other documents.. Santayana stated that she recently learned that a caregiver left a shift some minutes early. After investigating the incident, Designee terminated the caregiver. Licensee was found to have exercised appropriate supervision and took immediate action to rectify the situation. Based on interviews conducted and documents obtained, the department could not corroborate that the HCO failed to provide services as contracted. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of this report and HCS9058 appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
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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