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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700692
Report Date: 03/19/2025
Date Signed: 03/19/2025 04:31:57 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/19/2025 04:31 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:GOLD STAR HEALTH CARE AND CAREGIVER ORGANIZATIONFACILITY NUMBER:
194700692
ADMINISTRATOR/
DIRECTOR:		LOVELESS, VILMAFACILITY TYPE:
300
ADDRESS:14241 FIRESTONE BLVD. STE 400TELEPHONE:
(562) 298-4019
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY: CENSUS: DATE:
03/19/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Vilma Loveless - AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Gold Star Health Care and Caregiver Organization on 3/19/25 for a biennial inspection. Upon arrival, EA was greeted by Administrator Vilma Loveless. The proper posting of business hours and license was observed. The proof of insurance's record was 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. Loveless 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 Ms. Loveless.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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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