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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700007
Report Date: 08/29/2024
Date Signed: 08/30/2024 09:31:58 AM

Document Has Been Signed on 08/30/2024 09:31 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:NMRR INC DBA BRIGHTSTAR CAREFACILITY NUMBER:
074700007
ADMINISTRATOR/
DIRECTOR:		LINDSEY O'CONNELLFACILITY TYPE:
300
ADDRESS:333 RHEEM BLVD, SUITE ATELEPHONE:
(925) 284-8888
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY: CENSUS: DATE:
08/29/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Ellen Oum
TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Associate Government Program Analyst (AGPA) Megan Vigil, arrived at the business office of NMRR Inc. DBA Bright Star Care for a required two year inspection.

Upon arrival, AGPA Vigil identified herself and was greeted by Designee, Ellen Oum. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of insurance's, personnel and administrative files could be performed. Upon completion of the file review, AGPA Vigil discussed the findings of the inspection with the Designee and advised no discrepancies were found.

LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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