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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700289
Report Date: 01/29/2025
Date Signed: 01/29/2025 03:05:27 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/29/2025 03:05 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:ACCESS CARE SOLUTIONS AND RESOURCE GROUP, LLCFACILITY NUMBER:
194700289
ADMINISTRATOR/
DIRECTOR:
JORDAN VICTORIOFACILITY TYPE:
300
ADDRESS:19462 EMPTY SADDLE RDTELEPHONE:
(626) 831-1862
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY: CENSUS: DATE:
01/29/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Alma Enriquez - LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Access Care Solutions and Resource Group LLC on 1/29/25 for a biennial inspection. Upon arrival, EA was greeted by licensee Alma Enriquez. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. 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 licensee and informed her that no discrepancies were found.

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

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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