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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374700388
Report Date: 02/02/2026
Date Signed: 02/02/2026 04:34:05 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
12/29/2025 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20251229153335
FACILITY NAME:A PLACE AT HOME - ENCINITASFACILITY NUMBER:
374700388
ADMINISTRATOR:PEREZ-VAN VALZAH, JOSCELYNFACILITY TYPE:
300
ADDRESS:16885 W BERNARDO DR STE 118TELEPHONE:
(719) 922-5227
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:CENSUS: DATE:
02/02/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Joscelyn Perez-Van Valzah TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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HCO does not ensure that staff are being properly trained.
INVESTIGATION FINDINGS:
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On February 2, 2026, Home Care Services Bureau (HCSB) Enforcement Analyst (EA) Adrian Mangina arrived at the address above for the purpose of delivering findings regarding the above allegation. EA met with Designee Joscelyn Perez-Van Valzah.

During the course of the investigation EA interviewed Designee Joscelyn Perez-Van Valzah and others. Designee Perez-Van Valzah stated that she provides all required training including in-house entry-level and an outside provider for annual training. Relevant parties interviewed indicated that Licensee does provide training but could not list which trainings are provided.

EA reviewed records provided by Designee, including training plan and training logs. EA found that there was a discrepancy between the training plan outline and the entries on training logs. The logs showed that

continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2026
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-20251229153335
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: A PLACE AT HOME - ENCINITAS
FACILITY NUMBER: 374700388
VISIT DATE: 02/02/2026
NARRATIVE
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page 2

HCAS completed three hours safety training including Basic Safety, Emergency Procedures, and
infection control but the training plan did not reference infection control component. Licensee's training deck, however, did include infection control as required. EA advised that Designee should update training plan to reflect what is actually being taught and that best practice is to ensure that they are following their own plan. Based on the information received through interviews and record review it is determined that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation are unsubstantiated.

Exit interview was conducted and a copy of this report and HCS9058 Appeal Rights form was provided.

SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2