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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700316
Report Date: 06/01/2026
Date Signed: 06/01/2026 05:04:11 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/01/2026 05:04 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:THERE FOR CARE INC.FACILITY NUMBER:
194700316
ADMINISTRATOR/
DIRECTOR:		JASMINE MARTINFACILITY TYPE:
300
ADDRESS:655 N CENTRAL AVENUE #1756TELEPHONE:
(310) 975-8585
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: CENSUS: DATE:
06/01/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Jasmine Martin - AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Enforcement Analyst (EA), Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. EA met with the HCO representative, Jasmine Martin. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 12:00pm - 4:00pm, Wednesdays.

During the inspection, EA reviewed the required documents for the personnel records for Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s). Ms. Martin stated the HCO has no clients nor staff at this time. EA also reviewed the HCO’s business records for insurance requirements. The HCO is unable to provide proof of current worker's compensation during the inspection.


Based on the file review, EA informed the licensee of the deficiency found and noted on the 809D. An exit interview was conducted, a copy of the reports (HCS809 & HCS809D) and appeal rights (LIC9058) were provided to HCO representative, Jasmine Martin, via email.

NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2026
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 06/01/2026 05:04 PM - It Cannot Be Edited


Created By: Jane Cong-Huyen On 06/01/2026 at 02:39 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: THERE FOR CARE INC.
FACILITY NUMBER: 194700316

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2026
Section Cited
1796.42 (b)
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1796.42 (a) A home care organization licensee shall do all of the following:
(b) Maintain and abide by a valid workers’ compensation policy covering its affiliated home care aides.
This requirement is not met as evidenced by:
HCO was unable to provide proof of worker's compensation. This poses potential risks to the future/current home care aides/staff.
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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: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2026
LIC809 (FAS) - (06/04)
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