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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 554700005
Report Date: 06/09/2026
Date Signed: 06/09/2026 02:17:15 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
05/06/2026 and conducted by Evaluator Yolanda Hankerson
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20260506131004
FACILITY NAME:TLC ASSISTANT LIVING SERVICESFACILITY NUMBER:
554700005
ADMINISTRATOR:HAMPTON, SHELIAHFACILITY TYPE:
300
ADDRESS:20915 O'BRIEN CTTELEPHONE:
(209) 288-2484
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:CENSUS: DATE:
06/09/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sheliah HamptonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
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7
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9
Home Care Aides have not completed the required training hours
Home Care Aides are not approved on the Home Care Aide Registry
INVESTIGATION FINDINGS:
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2
3
4
5
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7
8
9
10
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13
Enforcement Analyst (EA) Yolanda Hankerson ,was greeted by Licensees Sheliah Hampton... EA Y. Hankerson conducted an interview with Sheliah. EA, Yolanda Hankerson review payroll, training and registry compliance.

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: Yolanda Hankerson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
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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