<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 494700062
Report Date: 06/03/2026
Date Signed: 06/03/2026 01:21:55 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
04/29/2026 and conducted by Evaluator Megan Vigil
COMPLAINT CONTROL NUMBER: 47-HC-20260429115617
FACILITY NAME:PRESTIGE IN HOME CAREFACILITY NUMBER:
494700062
ADMINISTRATOR:MEREANI IKANIVEREFACILITY TYPE:
300
ADDRESS:1364 NORTH MCDOWELL BLVD STEA2TELEPHONE:
(707) 774-1424
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY:CENSUS: DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Mereani IkanivereTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
HCO is not providing services to client as contracted
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Enforcement Analyst (EA) Megan Vigil arrived at the Home Care Organization (HCO) regarding the above allegation.

EA Vigil was greeted by Licensee Mereani Ikanivere and conducted an interview with the licensee regarding the allegation. The licensee was cooperative and included the care coordinator responsible for scheduling in the discussion.Staff explained that the organization partners with AgeWell, a medical clinic that coordinates client appointments. Staff acknowledged a communication breakdown between the organizations that may have resulted in scheduling changes not being communicated timely. To address the issue, staff implemented a processto prevent any occurances.

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 the 9099 and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
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 1