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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700859
Report Date: 12/23/2025
Date Signed: 12/23/2025 03:18:00 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/23/2025 03:18 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:HOMEWATCH CAREGIVERS OF LONG BEACHFACILITY NUMBER:
194700859
ADMINISTRATOR/
DIRECTOR:		BELTER, TANIA WILLIAMSFACILITY TYPE:
300
ADDRESS:2525 CHERRY AVE STE 150TELEPHONE:
(562) 426-2886
CITY:SIGNAL HILLSTATE: CAZIP CODE:
90755
CAPACITY: CENSUS: DATE:
12/23/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Crystal Whitsett - Operations CoordinatorTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Homewatch Caregivers of Long Beach on 12/23/25 for a biennial inspection, EA met with Operations Coordinator Crystal Whitsett. 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 Ms. Whitsett and informed her of the deficiencies found and explained they would be noted on the 809D. Ms. Whitsett was advised that home care aides without proof of negative tb test within 2 years are not to be with clients.

EA Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights to Ms. Whitsett..

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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Document Has Been Signed on 12/23/2025 03:18 PM - It Cannot Be Edited


Created By: Ryan Chan On 12/23/2025 at 02:59 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: HOMEWATCH CAREGIVERS OF LONG BEACH
FACILITY NUMBER: 194700859

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/31/2025
Section Cited
1796.45(c)
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1796.45(c) After...examination...home care aide whose test for tuberculosis infection is negative shall...undergo an examination at least once every two years. Once...positive test for tuberculosis... followed by an X-ray, the examination is no longer required.
This requirement is not met as evidenced by:
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Based on records reviewed, home care organization did not ensure that home care aide staff (S3) completed tb test at least once every two years. This poses an immediate health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR 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
LIC809 (FAS) - (06/04)
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