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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700751
Report Date: 03/20/2025
Date Signed: 03/20/2025 02:54:54 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/20/2025 02:54 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:HOME INSTEAD SENIOR CARE #304FACILITY NUMBER:
194700751
ADMINISTRATOR/
DIRECTOR:		GREGORIA SANCHEZ JRFACILITY TYPE:
300
ADDRESS:899 W FOOTHILL BLVD STE HTELEPHONE:
(626) 599-2310
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY: CENSUS: DATE:
03/20/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Dr. Gregorio Sanchez - LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA), Ryan Chan arrived at the business office of Home Instead Senior Care #304 on 3/20/25. Upon arrival, EA identified himself and was greeted by the licensee Dr Sanchez. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of administrative files could be performed. This location does not have any home care aides assigned as the address is only being used for coverage of the area for the franchise. All home care aides are assigned to the licensees other home care organization license in Pasadena. Upon completion of the file review the analyst discussed the findings of the inspection with the licensee and and informed him that no discrepancies were found.
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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