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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700002
Report Date: 02/21/2025
Date Signed: 02/21/2025 12:22:54 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/21/2025 12:22 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:RIGHT AT HOMEFACILITY NUMBER:
194700002
ADMINISTRATOR/
DIRECTOR:		CONCIALDI, RENEEFACILITY TYPE:
300
ADDRESS:328 E SAN BERNARDINO RDTELEPHONE:
(626) 584-8130
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY: CENSUS: DATE:
02/21/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Renee Concialdi - LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Right At Home on 2/21/25 for a biennial inspection. Upon arrival, EA met with licensee Renee Concialdi. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. EA was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review EA discussed the findings of the inspection with the licensee an informed her of any deficiencies found which would be noted on the 809D. Licensee was advised that HCAs without proof of negative tuberculosis test within 2 years are not to be with clients until proof has been submitted and verified.

EA Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights to the licensee.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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Document Has Been Signed on 02/21/2025 12:22 PM - It Cannot Be Edited


Created By: Ryan Chan On 02/21/2025 at 11:42 AM
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: RIGHT AT HOME
FACILITY NUMBER: 194700002

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/25/2025
Section Cited
1796.45(a)
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1796.45 (a) Affiliated home care aides hired...shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease.
This requirement is not met as evidenced by:
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Although home care aide staff (S5) completed a tuberculosis test, the results for the test could not be verified. Based or records reviewed, licensee did not ensure home care aide (HCA) staff was free from active tuberculosis before placing HCA with client which poses an immediate risk to the health and safety of 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: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
LIC809 (FAS) - (06/04)
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