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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 074700122
Report Date: 07/24/2025
Date Signed: 07/28/2025 11:12:10 AM

Document Has Been Signed on 07/28/2025 11:12 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:COMPANION COMFORT CARE LLCFACILITY NUMBER:
074700122
ADMINISTRATOR/
DIRECTOR:		SAADAT, ROWENAFACILITY TYPE:
300
ADDRESS:945 FANED WAYTELEPHONE:
(925) 521-4952
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY: CENSUS: DATE:
07/24/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Rowena SaadatTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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Enforcement Analyst (EA) Megan Vigil, with the Home Care Services Branch (HCSB), conducted an onsite inspection and met with Licensee, Rowena Saadat.

During the inspection, EA Vigil observed the posting of the license, verified the operation of the business, and confirmed compliance with insurance requirements. Additionally, EA Vigil reviewed personnel records to complete the file review.

At the conclusion of the visit, EA Vigil found the Home Care Organization (HCO) to be in full compliance, with no deficiencies noted. An exit interview was conducted, during which a copy of this report, the staff records review report, and information regarding appeal rights were provided.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 07/28/2025 11:12 AM - It Cannot Be Edited


Created By: Megan Vigil On 07/24/2025 at 02:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: COMPANION COMFORT CARE LLC
FACILITY NUMBER: 074700122

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2025
Section Cited
1796.43
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...(a) Home care organizations that employ
affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients...
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Home Care Aides (HCAs) were not cleared or deemed eligible on the Home Care Aide Registry prior to providing services to the public. This poses an immediate health and safety risk to clients in care.
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Type A
07/31/2025
Section Cited
1796.23
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…(a) Each person initiating a background examination to be a registered home care aide shall submit his or her fingerprints to the Department of Justice by electronic transmission in a manner approved by the department…
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Home Care Aides(HCAs) provided services to the public before completing the fingerprint clearance process. This poses an immediate health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/28/2025 11:12 AM - It Cannot Be Edited


Created By: Megan Vigil On 07/24/2025 at 02:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: COMPANION COMFORT CARE LLC
FACILITY NUMBER: 074700122

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2025
Section Cited
1796.45
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...(d) After each examination, an affiliated home care aide shall submit, and the home care organization shall keep on file, a certificate from the examining practitioner showing that the affiliated home care aide was examined and found free from active tuberculosis disease…
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The Home Care Organization (HCO) did not have tuberculosis (TB) test records on file for its Home Care Aides (HCAs). This poses an immediate health and safety risk to clients in care.
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Type B
08/14/2025
Section Cited
1796.44
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(a) A licensee shall ensure that prior to providing..services...shall complete the training requirements...(b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client...shall complete a minimum of five hours of annual training.
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The Enforcement Analyst was unable to review completed training requirements assigned to the home care aides before providing services to the public. This poses a potential health and
safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025
LIC809 (FAS) - (06/04)
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