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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700212
Report Date: 10/12/2021
Date Signed: 12/16/2021 11:39:51 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:CONTINUITY CARE STAFFING SERVICES, INC.FACILITY NUMBER:
194700212
ADMINISTRATOR:SAWOSKI, MARYANNEFACILITY TYPE:
300
ADDRESS:12722 RIVERSIDE DR., STE. 108BTELEPHONE:
(818) 761-2273
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91607
CAPACITY:0CENSUS: DATE:
10/12/2021
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Pati JohnsTIME COMPLETED:
02:45 PM
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Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti conducted an inspection and a complaint investigation of Home Care Organization (HCO) Continuity Care Staffing Services, Inc. on 10/12/2021. The inspection did not reveal any issues with the HCO personnel files or any other HCSB licensing requirements. In addition to reviewing a sample of caregiver personnel files, the analyst obtained specific files for the list of caregivers that the complainant reported as alleged abusers. The analyst was able to verify the full name/registration ID number for each individual and reviewed their personnel files which had no deficiencies. Some caregivers have already been separated from the HCO's employee roster.

The analyst collected a total of four APS reports that the HCO had on file for both their HCO and HCAs. Based on the information reviewed the allegations were found to be either unsubstantiated or unfounded.
SUPERVISORS NAME: Cynthia Tibbetts
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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