574700001-1-2-2024-47-HC-WSCT-CZY2T9-20240129164023

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 574700001
Report Date: 01/02/2024
Date Signed: 01/02/2024 12:58:48 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
09/19/2023 and conducted by Evaluator Megan Vigil

COMPLAINT CONTROL NUMBER: 47-HC-20230919102046

FACILITY NAME:	COMFORT KEEPERS		FACILITY NUMBER:	574700001
ADMINISTRATOR:	PRECIADO, JORGE		FACILITY TYPE:	300
ADDRESS:	123 COURT STREET		TELEPHONE:	(530) 666-4300
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95695
CAPACITY:		CENSUS:	DATE:	01/02/2024
		UNANNOUNCED	TIME BEGAN:	12:00 AM
MET WITH:	Jorge Preciado		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Home Care Aides do not have required training.

INVESTIGATION FINDINGS:

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Home Care Services Bureau (HCSB) Associate Government Program Analyst (AGPA) Megan Vigil arrived at the business office of Comfort Keepers on 1.2.24 at approximetley 10:00am and was greeted by Designee, Jorge Preciado.

AGPA Vigil conducted an annual inspection and discussed the complaint allegation. Upon completion of the file review, AGPA Vigil delivered the findings of the inspection to Designee and verified no discrepancies were found.

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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2024

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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