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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700542
Report Date: 03/12/2026
Date Signed: 03/12/2026 12:37:55 PM

Document Has Been Signed on 03/12/2026 12:37 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:PREMIER SENIOR CAREFACILITY NUMBER:
194700542
ADMINISTRATOR/
DIRECTOR:		WILLIAM ERICKSONFACILITY TYPE:
300
ADDRESS:100 WEST BROADWAY SUITE 3000TELEPHONE:
(310) 871-7194
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY: CENSUS: DATE:
03/12/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Marcie Barrett - LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Premier Senior Care on 3/12/26 for a biennial inspection. Upon arrival, EA met with licensee Marcie Barrett. The proper posting of business hours and license was observed. The proof of insurance records were 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 the 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 to the licensee.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
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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