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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700806
Report Date: 09/16/2025
Date Signed: 09/16/2025 02:08:26 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/16/2025 02:08 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:DAY AND NITE HOMECARE SERVICESFACILITY NUMBER:
194700806
ADMINISTRATOR/
DIRECTOR:		URUBUSI, AUGUSTINAFACILITY TYPE:
300
ADDRESS:111 W. OCEAN BLVD #400TELEPHONE:
(424) 750-9589
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY: CENSUS: DATE:
09/16/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Augustina Urubusi - LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Day and Nite Homecare Services on 9/16/25 for a biennial inspection, EA met with licensee Augustina Urubusi. The proper posting of business hours and license was observed. The proof of insurance records were reviewed.

Licensee stated she does not have any home care aides or clients currently. EA provided guidance on office hours vs operating hours and provided form HCS 200 so licensee can update her office hours. EA also provided form HCS 500 (Training log) and Fast Facts for non-medical services.

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: 09/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2025
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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