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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700729
Report Date: 09/04/2025
Date Signed: 09/04/2025 06:21:50 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/04/2025 06:21 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:CP HOMECARE INCFACILITY NUMBER:
194700729
ADMINISTRATOR/
DIRECTOR:		ELOISA PINEDAFACILITY TYPE:
300
ADDRESS:285 BARTHE DRTELEPHONE:
(626) 298-6122
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY: CENSUS: DATE:
09/04/2025
Case Management - Biennial Required ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Eloisa Pineda - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of CP Homecare Inc on 9/4/25 for a biennial inspection, EA met with licensee Eloisa Pineda. 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: 09/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2025
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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