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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 154700003
Report Date: 03/22/2023
Date Signed: 03/22/2023 10:36:53 AM

Document Has Been Signed on 03/22/2023 10:36 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:AROUND THE CLOCK COMPANION CAREFACILITY NUMBER:
154700003
ADMINISTRATOR:DOLLAR, STACIE MFACILITY TYPE:
300
ADDRESS:5251 OFFICE PARK DRIVE STE 400TELEPHONE:
(661) 324-4277
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: CENSUS: DATE:
03/22/2023
Required - 2 YearUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Stacie DollarTIME COMPLETED:
11:00 AM
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Home Care Services Bureau (HCSB) analyst Ruben Perez arrived at the business office of Around the Clock Companion Care on 3/22/2023 for a biennial inspection. Upon arrival, the HCSB analyst identified himself and was greeted by Stacie Dollar. 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 Stacie and informed the designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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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