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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700831
Report Date: 12/23/2025
Date Signed: 12/23/2025 12:29:31 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/23/2025 12:29 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:AMERICAN GERIATRIC CARE MANAGEMENT, INC.FACILITY NUMBER:
194700831
ADMINISTRATOR/
DIRECTOR:		SAMSON, JOVENFACILITY TYPE:
300
ADDRESS:20100 S WESTERN AVE STE 200TELEPHONE:
(888) 200-2085
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: CENSUS: DATE:
12/23/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Malou Tsutsumi - Designee; Jane Aquino - Remote Admin Service ProviderTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of American Geriatric Care Management, Inc. on 12/23/25 for a biennial inspection. EA met with Jane Aquino Remote Admin Service Provider via video call and designee Malou Tsutsumi. The proper posting of business hours and license was observed. The proof of insurance records were reviewed. EA was advised that this home care organization did not currently have any home care aides as they operate as a care management coordination, and any home care aides are hired directly by the client. Upon completion of the inspection EA discussed the findings of the inspection with Ms. Aquino and Ms. Tsutsumi and informed them that no discrepancies were found.

EA Chan concluded the visit with an exit interview and provided a copy of this report via email to Ms. Aquino.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2025
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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