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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700594
Report Date: 07/17/2025
Date Signed: 07/17/2025 05:56:24 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/17/2025 05:56 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:ALL CARE IN HOME SERVICESFACILITY NUMBER:
194700594
ADMINISTRATOR/
DIRECTOR:		EDVA ELKAYAMFACILITY TYPE:
300
ADDRESS:24445 HAWTHORNE BLVD. STE 208TELEPHONE:
(310) 375-0010
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: CENSUS: DATE:
07/17/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Glorian Moral - Officer ClerkTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of All Care In Home Services on 7/17/25 for a biennial inspection, EA met with Glorian Moral, Office Clerk. 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 Ms. Moral. EA informed her of the deficiencies found and explained they would be noted on the 809D. EA advised that home care aides (HCA) who are not cleared on the home care aide registry and who do not have proof of negative tuberculosis test within 2 years are not to be with clients.

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

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
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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Document Has Been Signed on 07/17/2025 05:56 PM - It Cannot Be Edited


Created By: Ryan Chan On 07/17/2025 at 01:14 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: ALL CARE IN HOME SERVICES
FACILITY NUMBER: 194700594

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2025
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...”
This requirement is not met as evidenced by:
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Based on records reviewed licensee did not ensure home care aide (S1, S4, and S9) were cleared on the home care aide registry which poses an immediate risk to the health and safety of clients in care.
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Type A
07/24/2025
Section Cited
1796.45(c)
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1796.45(c)...an affiliated home care aide...test for tuberculosis infection shall be required to undergo an examination at least once every two years...a documented positive test for tuberculosis infection that has been followed by an X-ray, the examination is no longer required.
This requirement is not met as evidenced by:
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Based on records reviewed licensee did not ensure home care aide (S4, S5, S6, S7, and S9) had proof of negative tuberculosis testing within two years which poses an immediate 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: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
LIC809 (FAS) - (06/04)
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