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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700934
Report Date: 05/14/2024
Date Signed: 05/14/2024 03:03:03 PM

Document Has Been Signed on 05/14/2024 03:03 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:1HEART CAREGIVER SERVICESFACILITY NUMBER:
194700934
ADMINISTRATOR/
DIRECTOR:		MAGPANTAY, RHEA CRUZFACILITY TYPE:
300
ADDRESS:2500 E FOOTHILL BLVD STE 404TELEPHONE:
(323) 627-3165
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: CENSUS: DATE:
05/14/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Rhea MagpantayTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Home Care Services Bureau (HCSB) Analyst Ryan Chan and Mila Quinto arrived at the business office of 1Heart Caregiver Services on 5/14/24 for a post licensing inspection. Upon arrival, the HCSB analysts identified themselves and was greeted by Rhea Magpantay. The proper posting of business hours and license was observed. The analysts were then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with Rhea Magpantay and informed Rhea Magpantay that no discrepancies were found.
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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