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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700238
Report Date: 05/27/2026
Date Signed: 05/29/2026 05:06:30 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/29/2026 05:06 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:ARISTOCARE HOMECARE SERVICES, INC.FACILITY NUMBER:
194700238
ADMINISTRATOR/
DIRECTOR:		VASQUEZ, RAUL D.FACILITY TYPE:
300
ADDRESS:225 E BROADWAY STE 312TELEPHONE:
(213) 880-5070
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY: CENSUS: DATE:
05/27/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Raul Vasquez - LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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Enforcement Analyst (EA), Ryan Chan, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection, EA met with licensee Raul Vasquez. The proper posting of business hours and license was observed during the virtual tour of the facility.

During the inspection, EA reviewed personnel records for Home Care Aides (HCA) including fingerprint status', registry status', tuberculosis (TB), and required training. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the insurance requirements. Upon completion of the file review EA discussed the findings of the inspection with the licensee and informed him of the deficiencies found and explained they would be noted on the 809D.

An exit interview was conducted, a copy of this report and appeal rights were provided to the licensee via email.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/27/2026
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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Document Has Been Signed on 05/29/2026 05:06 PM - It Cannot Be Edited


Created By: Ryan Chan On 05/27/2026 at 05:08 PM
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
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: ARISTOCARE HOMECARE SERVICES, INC.
FACILITY NUMBER: 194700238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2026
Section Cited
1796.44(c)
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1796.44 (c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific, which shall include, but not be limited to, the following areas:
(1) Clients’ rights and safety.
(2) How to provide for and respond to a client’s daily living needs.
(3) How to report, prevent, and detect abuse and neglect.
(4) How to assist a client with personal hygiene and other home care services.
(5) If transportation services are provided, how to safely transport a client.
This requirement is not met as evidenced by:
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Based on records reviewed licensee did not ensure home care aide (HCA) staff S3, S4, S5, and S6 completed annual training which poses a potential 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: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/27/2026
LIC809 (FAS) - (06/04)
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