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

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700027
Report Date: 10/25/2024
Date Signed: 10/25/2024 03:07:43 PM

Document Has Been Signed on 10/25/2024 03:07 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:KEEN HOME CAREFACILITY NUMBER:
194700027
ADMINISTRATOR/
DIRECTOR:		GINNY DUTILEFACILITY TYPE:
300
ADDRESS:260 REDONDO AVETELEPHONE:
(562) 438-5336
CITY:LONG BEACHSTATE: CAZIP CODE:
90803
CAPACITY: CENSUS: DATE:
10/25/2024
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Christine Yap - Director of Care and Staff DevelopmentTIME VISIT/
INSPECTION COMPLETED:
03:30 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 Enforcement Analyst (EA) Ryan Chan arrived at the business office of Keen Home Care on 10/25/24 for a biennial inspection. Upon arrival, EA identified himself and was greeted by designee Christine Yap. The proper posting of business hours and license was observed. 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 designee and informed her that no discrepancies were found.

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

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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 1