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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 424700002
Report Date: 04/24/2023
Date Signed: 04/24/2023 02:34:18 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
09/07/2021 and conducted by Evaluator Ramsey Chimienti
PUBLIC
COMPLAINT CONTROL NUMBER: 47-CC-20210907164058
FACILITY NAME:SENIOR HELPERS (SANTA BARBARA)FACILITY NUMBER:
424700002
ADMINISTRATOR:MICHAEL FASTHFACILITY TYPE:
300
ADDRESS:1900 STATE ST, SUITE BTELEPHONE:
(805) 687-7777
CITY:SANTA BARBARASTATE: ZIP CODE:
93101
CAPACITY:CENSUS: DATE:
04/24/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Shannon WorkmanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Providing Medical Services
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Analyst, Ramsey Chimienti spoke with Designee, Shannon Workman, to deliver the findings of the above complaint allegations. Based on interviews and evidence obtained on 4/24/2023, the Analyst concluded that there was not conclusive evidence to substantiate the allegation of the Home Care Organization (HCO) has or is currently: 1) Providing Medical Services. Based on the preponderance of evidence gathered through interviews conducted, evidence obtained and observations, the above allegations were found to be unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2023
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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