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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700824
Report Date: 01/10/2025
Date Signed: 01/10/2025 02:53:13 PM

Document Has Been Signed on 01/10/2025 02:53 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:AMAZING SUPPORT HOME CARE LLCFACILITY NUMBER:
194700824
ADMINISTRATOR/
DIRECTOR:		IHEAKA, NNENNAFACILITY TYPE:
300
ADDRESS:30 OAK CLIFF DRIVETELEPHONE:
(909) 716-5493
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY: CENSUS: DATE:
01/10/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Chinedu Iheaka - 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 AMAZING SUPPORT HOME CARE LLC on 1/10/25 for a post licensing inspection. Upon arrival, EA was greeted by licensee Chinedu Iheaka. 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. Licensee stated he did not have any clients or home care aide staff due to having difficulties acquiring clients since the start of the business. EA provided guidance to licensee to prepare him for when he starts to hire HCAs as well as provided forms to help licensee keep track of HCA requirements. EA also provided the Department of Social Services Fact Sheet which documents what kind of services an HCA can provide. EA informed licensee that no discrepancies were found at the time of the post licensing inspection.

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: 01/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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