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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 504700007
Report Date: 07/18/2024
Date Signed: 07/18/2024 04:01:06 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
06/14/2023 and conducted by Evaluator Ruben Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20230614144457
FACILITY NAME:ALL WAYS CARING HOMECAREFACILITY NUMBER:
504700007
ADMINISTRATOR:ELIZABETH FLORESFACILITY TYPE:
300
ADDRESS:1101 SYLVAN AVE., SUITE C-210TELEPHONE:
(209) 473-1202
CITY:MODESTOSTATE: ZIP CODE:
95350
CAPACITY:CENSUS: DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Daisy Flores TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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The Home Care Organization did not provide client home care services by an affiliated home care aide as arranged.
INVESTIGATION FINDINGS:
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Associate Governmental Program Analyst (AGPA) Ruben Perez, arrived at the business address to meet with Daisy Flores, designee for All Ways Caring HomeCare located at 1101 Sylvan Ave, Suite C-210, Modesto, CA to discuss the above complaint allegation. Designee, Daisy, greeted AGPA Perez and showed him to an area where interviews and documents could be reviewed. Daisy was able to provide the following documentation: client service agreement, which included agreed upon policies in the event of service interruption, employee handbook that covers attendance and punctuality requirements set forth by the company and incident reports that were submitted to Adult Protective Services.

The Analyst concluded that there was not conclusive evidence to substantiate the above allegation. The analyst delivered the findings to, Designee, Daisy Flores. Based on the preponderance of evidence gathered through interviews conducted, evidence obtained and observations, the above allegation was found to be UNSUBSTANTIATED. An exit interview was conducted, and the licensing reports as well as the appeal rights documents were provided to the designee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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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