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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434700042
Report Date: 10/09/2024
Date Signed: 10/09/2024 01:06:14 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
09/16/2024 and conducted by Evaluator Ramsey Chimienti
COMPLAINT CONTROL NUMBER: 47-HC-20240916115323
FACILITY NAME:REACHPOINT HOME CARE & RESOURCES, INC.FACILITY NUMBER:
434700042
ADMINISTRATOR:ANTONIA B.EMPAYNADOFACILITY TYPE:
300
ADDRESS:1210 S BASCOM AVE. STE 123TELEPHONE:
(408) 692-4110
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:CENSUS: DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Antonia EmpaynadoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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The Home Care Organization (HCO) is working a Home Care Aide (HCA) who is not registered.
INVESTIGATION FINDINGS:
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Home Care Services Branch (HCSB) Analyst, Ramsey Chimienti, arrived at the business address for ReachPoint Home Care & Resources, and was greeted by the Licensee, Antonia Empaynado. The analysts reviewed a list of documents that were compiled by Antonia in order to complete the investigation. The requested documents included payroll from August 2024 through current as well as personnel records.

Based on Analyst’s observations and interviews, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Health and Safety Code, Division 2, Chapter 13, Article 7, Section 1796.43(a) is being cited on the attached HCS 9099D report.

Analyst Chimienti concluded the visit with an exit interview and provided a copy of the HCS 9099 and 9099D investigation reports along with appeal rights.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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-20240916115323
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: REACHPOINT HOME CARE & RESOURCES, INC.
FACILITY NUMBER: 434700042
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2024
Section Cited
1796.43 (a)
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Health and Safety Code § 1796.43 (a) Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients. Proof of clearance on the Home Care Aide Registry
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Scan proof of clearance and registration in the form of a screen capture from the Home Care Aide Registry Search site or a copy of your current personnel roster in Guardian showing Eligible-Clearance for the previously indicated caregivers and email to Michael.drake@dss.ca.gov by 10/16/24.
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was not documented in multiple caregiver’s personnel records that were reviewed by HCSB analyst. This poses an immediate health and safety risk to clients in care
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 Until proof of clearance and registration is provided, these caregivers must be immediately removed from shifts with clients.
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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: Wendy Scott
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2