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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 504700010
Report Date: 06/12/2025
Date Signed: 06/12/2025 06:28:09 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
05/29/2025 and conducted by Evaluator Ruben Perez
COMPLAINT CONTROL NUMBER: 47-HC-20250529115957
FACILITY NAME:INTERIM HOMESTYLE SERVICESFACILITY NUMBER:
504700010
ADMINISTRATOR:RONALD MURPHYFACILITY TYPE:
300
ADDRESS:1521 N. CARPENTER RD, SUITE D2TELEPHONE:
(209) 577-5936
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY:CENSUS: DATE:
06/12/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Ronald MurphyTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Home Care Organization did not provide services to client as contracted.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/12/2025, Enforcement Analyst (EA) Ruben Perez arrived at the business address for Interim Homestyle Services. EA Perez introduced himself and was greeted by Ron Murphy. EA explained that he was there to investigate the above complaint allegation(s). EA Perez interviewed Ron regarding the company’s onboarding process for caregivers including background check and registration on the Home Care Aide (HCA) Registry. EA Perez also reviewed personnel files and payroll to ensure licensing requirements were met. EA Perez interviewed Designee about their policy pertaining to Home Care Aides not showing up for scheduled shifts. Designee 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.

Based on EA's observations and interviews, the EA concluded that there was not enough evidence to show that the organization violated the allegation(s) listed above, therefore, the above allegation(s) is found to be UNSUBSTANTIATED.

Analyst Perez concluded the visit with an exit interview and provided a copy of the HCS 9099 investigation report along with appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
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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