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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700967
Report Date: 01/17/2025
Date Signed: 01/17/2025 02:55:58 PM

Document Has Been Signed on 01/17/2025 02:55 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:ALONGSIDE CAREFACILITY NUMBER:
194700967
ADMINISTRATOR/
DIRECTOR:		VIC STEELEFACILITY TYPE:
300
ADDRESS:2601 RISING STAR DR.TELEPHONE:
(562) 267-9492
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: CENSUS: DATE:
01/17/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Mary Jo Franze - Offica ManagerTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analysts (EA) Ryan Chan and Jane Cong-Huyen arrived at the business office of Alongside Care on 1/17/25 for an initial inspection. Upon arrival, EAs were greeted by Mary Jo Franze, Office Manager. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. EAs were then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review EAs discussed the findings of the inspection with Mary Jo Franze and informed her of the deficiencies found and explained they would be noted on the 809D.

EAs concluded the visit with an exit interview and provided a copy of this report along with appeal rights to Mary Jo Franze.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 01/17/2025 02:55 PM - It Cannot Be Edited


Created By: Ryan Chan On 01/17/2025 at 02:13 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

FACILITY NAME: ALONGSIDE CARE
FACILITY NUMBER: 194700967

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2025
Section Cited
1796.45(a)
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1796.45(a) Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease.
This requirement is not met as evidenced by:
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Based on interviews and records reviewed licensee did not ensure home care aide (S1) submitted to a tuberculosis exam within the required time frame before placing the home care aide with a client which poses an immediate risk to the health and safety of 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: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/17/2025 02:55 PM - It Cannot Be Edited


Created By: Ryan Chan On 01/17/2025 at 02:24 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

FACILITY NAME: ALONGSIDE CARE
FACILITY NUMBER: 194700967

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2025
Section Cited
1796.42 (d)
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1796.42(d) Maintain proof of general and professional liability insurance in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the aggregate.
This requirement is not met as evidenced by:
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Based on interviews and records reviewed licensee did not ensure the home care organization had professional liability insurance in the amount of $3,000,000 in the aggregate.
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Type B
01/24/2025
Section Cited
1796.43 (a)
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1796.43(a) “Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients...”
This requirement is not met as evidenced by:
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Based on interviews and records reviewed licensee did not ensure the home care aide (S1) was registered in the home care aide registry although home care aid had fingerprint clearance which poses a potential risk to the health and safety of 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: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
LIC809 (FAS) - (06/04)
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