<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 134700001
Report Date: 05/30/2024
Date Signed: 05/30/2024 02:12:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/30/2024 02:12 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:HEART & HAND - IN HOME CARE, LLCFACILITY NUMBER:
134700001
ADMINISTRATOR/
DIRECTOR:		THOMASON, JENNIFER MCGREWFACILITY TYPE:
300
ADDRESS:499 SOUTH SUNSET DRIVETELEPHONE:
(760) 336-2400
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: CENSUS: DATE:
05/30/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:58 AM
MET WITH:Jennifer McGrew ThomasonTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Bureau (HCSB) Analyst Adrian Mangina arrived at the business office of Heart & Hand on 5/30/2024 for a Biennial inspection. Upon arrival, the HCSB analyst identified herself and was greeted by Licensee Jennifer McGrew Thomason. The proper posting of business hours and license were 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 Jennifer McGrew Thomason. The analyst informed the representative named above of the deficiency found and explained they would be noted on the HCS809-D form. In addition, the Licensee was provided a copy of the HCS9058 Appeal Rights form.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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 2
Document Has Been Signed on 05/30/2024 02:12 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 05/30/2024 at 01:42 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

FACILITY NAME: HEART & HAND - IN HOME CARE, LLC
FACILITY NUMBER: 134700001

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/31/2024
Section Cited
1796.23(a)
1
2
3
4
5
6
7
1796.23(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, unless exempt under subdivision...
8
9
10
11
12
13
14
This requirement is not met as evidenced by:
During the review of files, it was observed that References #5, #7, #8, #9, and #10 do not have fingerprint clearances associated to the organization a finding which poses an immediate health and safety risks to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2