<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701008
Report Date: 02/13/2025
Date Signed: 02/13/2025 12:21:51 PM

Document Has Been Signed on 02/13/2025 12:21 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:LIVE WELL HOME CARE SERVICES, INC.FACILITY NUMBER:
194701008
ADMINISTRATOR/
DIRECTOR:		IONE NUNEZFACILITY TYPE:
300
ADDRESS:1876 LINCOLN AVE.TELEPHONE:
(310) 906-5594
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: CENSUS: DATE:
02/13/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Ione Nunez, License and Violeta Bentonio, Administrative AssistantTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Live Well Home Care Services, Inc on 2/13/25 for a post licensing inspection.Upon arrival, EA was greeted by licensee Ione Nunez and Administrative Assistant Violeta Bentonio. 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 the licensee and informed her that no discrepancies were found. EA provided licensee with forms: Personnel Folder Checklist, Training log (HCS 500), Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders (SOC 341A), and Department of Social Services Fact Sheet of Services that can be provided by the home care organization.

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

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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 1