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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700879
Report Date: 10/01/2025
Date Signed: 10/01/2025 02:59:45 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/01/2025 02:59 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:TCC HOME CAREFACILITY NUMBER:
194700879
ADMINISTRATOR/
DIRECTOR:		GARCIA, CINDYFACILITY TYPE:
300
ADDRESS:215 N MARENGO AVE FL 3TELEPHONE:
(877) 933-3335
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY: CENSUS: DATE:
10/01/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Jason Smith - LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of TCC Home Care on 10/01/25 for a biennial inspection, EA met with licensee Jason Smith. The proof of insurance records were reviewed. The proper posting of business hours and license was observed. Licensee does not have any clients or home care aides under this company at this time.

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