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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 574700009
Report Date: 07/02/2024
Date Signed: 07/03/2024 09:40:57 AM

Substantiated


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
05/23/2024 and conducted by Evaluator Megan Vigil
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20240523164048
FACILITY NAME:WE CARE 4 YOLOFACILITY NUMBER:
574700009
ADMINISTRATOR:KELLI VILLANUEVAFACILITY TYPE:
300
ADDRESS:846 W MAIN STTELEPHONE:
(530) 564-6229
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:CENSUS: DATE:
07/02/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Kelli VillanuevaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Home Care Aides have not completed the required training hours.
INVESTIGATION FINDINGS:
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Associate Government Program Analysts (AGPAs) Megan Vigil and Ramsey Chimienti met with Licensee, Kelli Villanueva to discuss the above listed complaint allegation.
AGPA Vigil conducted a post licensing inspection on 6.13.24 and discovered the majority of Home Care Aides (HCA) did not have the required training documented in caregiver personnel records. Licensee, Kelli stated that they were unaware that they are required to provide the initial five hours of training and assumed that if the HCA's came from other Organizations, they did not have to provide the training. AGPA Vigil explained that the orientation and basic health and safety training must be provided by, We Care 4 Yolo, upon hire. The deficiencies are noted, and section 1796.44(a) of Health and Safety Code are being cited. The plan of corrections for the section are due by 7.4.24.

Based on AGPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A copy of the 9099, 9099D and appeal rights were provided to Licensee. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 47-HC-20240523164048
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: WE CARE 4 YOLO
FACILITY NUMBER: 574700009
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/04/2024
Section Cited
1796.44
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...(a) A home care organization licensee shall ensure that prior to providing home care services, an affiliated home care aide shall complete the training requirements specified in this section...
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The plan of corrections was created on the 809 and 809D from the inspection conducted 6.13.24. The plan of corrections are due 7.4.24.
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A record of completion of the required training hours and topics was not documented in the caregiver’s personnel records that were reviewed by HCSB analyst. This poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wendy Scott
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2