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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700496
Report Date: 06/18/2024
Date Signed: 06/18/2024 12:46:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/18/2024 12:46 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:24-SEVEN CAREFACILITY NUMBER:
194700496
ADMINISTRATOR/
DIRECTOR:		LORNA PEREZFACILITY TYPE:
300
ADDRESS:12140 ARTESIA BLVD STE 110TELEPHONE:
(562) 924-8448
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY: CENSUS: DATE:
06/18/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Lorna PerezTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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Home Care Services Bureau (HCSB) Analysts Ryan Chan and Mila Quinto arrived at the business office of 24 SEVEN CARE on 6/18/24 for a biennial inspection. Upon arrival, the HCSB analysts identified themselves and were greeted by Lorna Perez. The proper posting of business hours and license was observed. The analysts were then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analysts discussed the findings of the inspection with the licensee. The analysts informed the licensee of the deficiencies found and explained they would be noted on the 809D. Licensee was advised that home care aides should not be with clients without proper tb tests and if not on the home care aide registry.

Analysts concluded the visit with an exit interview and provided a copy of this report along with appeal rights.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 06/18/2024 12:46 PM - It Cannot Be Edited


Created By: Ryan Chan On 06/18/2024 at 11:56 AM
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

FACILITY NAME: 24-SEVEN CARE
FACILITY NUMBER: 194700496

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/18/2024
Section Cited
1796.43 (a)
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1796.43 (a) Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients...
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Based on documents reviewed and interview with licensee, licensee did not ensure home care aides (S1, S2, S3, S4, S5, S6) are cleared on the home care aide registry. This poses an immediate health and safety risk to clients in care.
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Type A
06/18/2024
Section Cited
1796.45 (c)
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1796.45 (c) After submitting to an examination...undergo an examination at least once every two years. Once an affiliated home care aide has a documented positive test for tuberculosis infection that has been followed by an X-ray, the examination is no longer required.
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Based on documents reviewed and interview with licensee, licensee did not ensure home care aides had proper tb testing required (S1, S2, S3, S4, S5, S6). This poses an immediate health and safety risk to 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: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/18/2024 12:46 PM - It Cannot Be Edited


Created By: Ryan Chan On 06/18/2024 at 12:13 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

FACILITY NAME: 24-SEVEN CARE
FACILITY NUMBER: 194700496

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/02/2024
Section Cited
1796.42 (e)
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1796.42 (e) A home care organization licensee shall do all of the following: Report any suspected or known dependent adult or elder abuse...and suspected or known child abuse... A copy of each suspected abuse report shall be maintained and available for review by the department...
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Based on documents reviewed licensee did not ensure that home care aides (S4, S5, S6) have completed Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders Form SOC 341A. This poses a potential health and safety risk to clients in care.
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Type B
07/02/2024
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:
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Based on documents reviewed, licensee did not ensure home care aides (S1, S2, S3, S4, S5, S6) completed training as required. This poses a potential health and safety risk to 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: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
LIC809 (FAS) - (06/04)
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