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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 544700013
Report Date: 10/01/2025
Date Signed: 10/21/2025 11:53:05 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
09/03/2025 and conducted by Evaluator Ruben Perez
COMPLAINT CONTROL NUMBER: 47-HC-20250903135028
FACILITY NAME:VISITING ANGELSFACILITY NUMBER:
544700013
ADMINISTRATOR:YANG, JADEFACILITY TYPE:
300
ADDRESS:1430 S MIRAGE AVETELEPHONE:
(559) 853-4420
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:CENSUS: DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jade YangTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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9
HCO is providing medication.
INVESTIGATION FINDINGS:
1
2
3
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5
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8
9
10
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12
13
Enforcement Analyst (EA), Ruben Perez, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a complaint investigation. EA Perez arrived at the business address for Visiting Angels, and was greeted by the Licensee, Jade Yang. The analyst explained that he was there to conduct a complaint investigation regarding the above allegation and listed documents that will need to be made available in order to complete the investigation. The requested documents included training plan for new hires, training course material, statements from staff, and various personnel records. The evidence obtained demonstrated that medication is not being handled, sorted, and administered by HCO staff whatsoever. 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. EA 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: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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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