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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700888
Report Date: 01/24/2025
Date Signed: 01/24/2025 02:20:42 PM

Document Has Been Signed on 01/24/2025 02:20 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:EASY SUPPORT GROUP OF CAREGIVERSFACILITY NUMBER:
194700888
ADMINISTRATOR/
DIRECTOR:		AQUINO, MARY JOYCEFACILITY TYPE:
300
ADDRESS:1636 W LOMITA BLVD APT 7TELEPHONE:
(562) 400-3154
CITY:HARBOR CITYSTATE: CAZIP CODE:
90710
CAPACITY: CENSUS: DATE:
01/24/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Ramil Aquino - LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Easy Support Group of Caregivers on 1/24/25 for a post licensing inspection. Upon arrival, EA was greeted by licensee Ramil Aquino. The proper posting of business hours and license was observed. The proof of insurance's record was 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 licensee and informed him that no discrepancies were found.

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

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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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