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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700098
Report Date: 08/15/2024
Date Signed: 08/16/2024 01:11:49 PM

Document Has Been Signed on 08/16/2024 01:11 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:ASPIRE IN HOME CAREFACILITY NUMBER:
074700098
ADMINISTRATOR/
DIRECTOR:		PRASAD, KARISHMAFACILITY TYPE:
300
ADDRESS:4115 BLACKHAWK PLAZA CIR, 100TELEPHONE:
(925) 648-2076
CITY:DANVILLESTATE: CAZIP CODE:
94506
CAPACITY: CENSUS: DATE:
08/15/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Karishma PrasadTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Home Care Services Bureau (HCSB) Associate Government Program Analyst (AGPA) Megan Vigil arrived at the business office of Aspire In Home Care. Upon arrival, AGPA Vigil identified herself and was greeted by Licensee, Karishma Prasad. 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, no discrepancies were found.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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