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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 014700208
Report Date: 01/30/2025
Date Signed: 01/30/2025 09:54:36 AM

Document Has Been Signed on 01/30/2025 09:54 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:ENTRUSTED HEART HOMECARE, LLCFACILITY NUMBER:
014700208
ADMINISTRATOR/
DIRECTOR:		TONI NORMANFACILITY TYPE:
300
ADDRESS:385 14TH STREET STE 1408TELEPHONE:
(510) 225-4020
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY: CENSUS: DATE:
01/30/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee - Toni NormanTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Home Care Services Branch (HCSB) Analyst, Todd Borcher, arrived at the business office of Entrusted Heart Homecare, LLC for a Two-Year Licensing inspection on January 30, 2025. Upon arrival, the Analyst identified himself and was greeted by licensee Toni Norman. The proper posting of business hours and license was observed. The Analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the Analyst discussed the findings of the inspection with the licensee and informed the licensee that no discrepancies were found. A copy of the report was provided with appeal rights. Exit interview was conducted.
LICENSING EVALUATOR NAME: Todd Borcher
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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