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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 044700002
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:33:17 PM

Document Has Been Signed on 09/19/2024 02:33 PM - 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:ADDUS HOMECAREFACILITY NUMBER:
044700002
ADMINISTRATOR/
DIRECTOR:		KELLY RESSLERFACILITY TYPE:
300
ADDRESS:196 COHASSET ROAD, STE. 270TELEPHONE:
(630) 296-3400
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: CENSUS: DATE:
09/19/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Designee - Danielle GrahamTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Home Care Services Branch (HCSB) Analyst, Todd Borcher, arrived at the business office of Addus Homecare for a Two-Year Licensing inspection on September 19, 2024. Upon arrival, the Analyst identified himself and was greeted by designee Danielle Graham. 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 designee and informed the designee 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: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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