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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700599
Report Date: 11/06/2024
Date Signed: 11/06/2024 03:17:30 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 11/06/2024 03:17 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:SALCARE PRIVATE DUTY, INCFACILITY NUMBER:
194700599
ADMINISTRATOR/
DIRECTOR:		SALLY OKEKEFACILITY TYPE:
300
ADDRESS:15607 LAKEWOOD BLVD STE ATELEPHONE:
(323) 777-9339
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: CENSUS: DATE:
11/06/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Sally Okeke - HCO OwnerTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Salcare Private Duty, Inc on 11/6/24 for a biennial inspection. Upon arrival, EA identified himself and was greeted by licensee Sally Okeke. The proper posting of business hours and license was observed. Licensee is also licensed with CA Dept of Public Health as a Home Health Agency. EA was then shown to an area where the review of personnel and administrative files could be performed. Licensee did not currently have any active home care aides (HCA) and stated she had no active clients for the home care organization. Upon completion of the records 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 the licensee.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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