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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 014700207
Report Date: 07/27/2026
Date Signed: 07/27/2026 10:16:54 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/27/2026 10:16 AM - It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:BEULAH HOME CARE LLCFACILITY NUMBER:
014700207
ADMINISTRATOR/
DIRECTOR:		RASHAEL AZAHFACILITY TYPE:
300
ADDRESS:1101 MARINA VILLAGE PKWYSTE201TELEPHONE:
(408) 763-4781
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: CENSUS: DATE:
07/27/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Theresa CorreiaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Enforcement Analyst (EA) Yolanda Hankerson conducted a Biennial virtual visit and met with the designee, Theresa Correia. During the visit, EA verified the posting of the license, observed the operation of the business, confirmed compliance with insurance requirements, and completed the required personnel file review. All requested documentation was provided and reviewed.
The Home Care Organization (HCO) was found to be in compliance with applicable Health and Safety Code requirements. No deficiencies were cited.
An exit interview was conducted, and copies of 809 Facility Evaluation, 859 Staff Records Review Report, and appeal rights information were provided via email.
Yolanda Hankerson
DATE: 07/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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