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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 504700032
Report Date: 11/21/2024
Date Signed: 12/03/2024 06:17:16 AM

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
08/29/2024 and conducted by Evaluator Ruben Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20240829103623
FACILITY NAME:DOTTIE'S QUALITY IN HOME CAREFACILITY NUMBER:
504700032
ADMINISTRATOR:WOOD, JENNIFERFACILITY TYPE:
300
ADDRESS:1801 TULLY RD STE A-2TELEPHONE:
(209) 447-6644
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:CENSUS: DATE:
11/21/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jennifer WoodTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
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9
Home Care Aides are not registered on the Home Care Aide Registry prior to caring for clients.

Home Care Aides do not have fingerprint clearance or exemption prior to caring for clients.

Home Care Aides do not have required TB results.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Enforcement Analyst (EA) Ruben Perez arrived at the business address to meet with Jennifer Wood, licensee of Dottie's Quality In Home Care at 200 North Broadway Avenue, Ste E, Turlock, CA to discuss the above complaint allegations. Licensee, Jennifer Wood, greeted me at the door and let me in for an inspection of the organization. Jennifer was able to provide documentation and personnel folders that concluded the Home Care Organization did not violate the allegations above.

Based on EA's observations and interviews, the AGPA concluded that there was not enough evidence to show that the organization violated any of the allegations listed above, therefore, the above allegations are found to be UNSUBSTANTIATED.

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

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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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