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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700065
Report Date: 10/31/2025
Date Signed: 10/31/2025 02:01:59 PM

Document Has Been Signed on 10/31/2025 02:01 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:DAVIS IN-HOME CARE, INC.FACILITY NUMBER:
194700065
ADMINISTRATOR/
DIRECTOR:		DREW C. DAVISFACILITY TYPE:
300
ADDRESS:2627 MANHATTAN BEACH BLVD #204TELEPHONE:
(310) 297-9127
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: CENSUS: DATE:
10/31/2025
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Robin ArmantroutTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On October 31, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Davis in-Home Care for a biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Robin Armantrout. Analyst was provided with an area in which the review of personnel and administrative files could be performed. Analyst Mangina observed the proper posting of License and business hours. Designee provided Analyst with proof of valid professional liability policy, worker's compensation, and dishonesty bond.

Upon completion of the file review Analyst discussed the findings of the inspection with Ms. Armantrout and informed Designee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2025
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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