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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434700141
Report Date: 06/02/2026
Date Signed: 07/06/2026 04:02:24 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
03/30/2026 and conducted by Evaluator Yolanda Hankerson
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260330150150
FACILITY NAME:SYNERGY HOMECARE OF CAMPBELL/LOS GATOSFACILITY NUMBER:
434700141
ADMINISTRATOR:NELSON, NANETTEFACILITY TYPE:
300
ADDRESS:2006 WINCHESTER BLVD. STE DTELEPHONE:
(408) 910-2630
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:CENSUS: DATE:
06/02/2026
UNANNOUNCEDTIME BEGAN:
11:19 AM
MET WITH:Tom NelsonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Home Care Aides are not properly trained
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/02/26, Home Care Services Branch Enforcement Analyst (EA) Yolanda Hankerson met with business owner Tom Nelson to discuss the above allegation.

Mr. Nelson was cooperative and provided all requested documentation.After reveiw of documentation, interveiw, and conducting an investigation.The above allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.Enforcement Analyst (EA) Yolanda Hankerson was greeted by Office Staff Markel and met with Licensee Tom Nelson.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Yolanda Hankerson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
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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