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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700165
Report Date: 05/08/2026
Date Signed: 05/11/2026 11:54:32 AM

Document Has Been Signed on 05/11/2026 11:54 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:FOOTHILL HOMECARE PARTNERS, INC.FACILITY NUMBER:
194700165
ADMINISTRATOR/
DIRECTOR:		COLLEEN MCKERNANFACILITY TYPE:
300
ADDRESS:78 W. SIERRA MADRE BLVDTELEPHONE:
(626) 836-2006
CITY:SIERRA MADRESTATE: CAZIP CODE:
91024
CAPACITY: CENSUS: DATE:
05/08/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Adrienne BolgerTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) communicated with the Home Care Organization (HCO) representative named above regarding a Biennial inspection.

The HCO opted for a Virtual Biennial inspection.

The Biennial inspection is tentatively scheduled for May 12, 2026 at 10AM.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2026
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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