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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701072
Report Date: 06/25/2025
Date Signed: 06/25/2025 02:53:21 PM

Document Has Been Signed on 06/25/2025 02:53 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:A&S HOME CARE, INC. DBA COMFORT KEEPERSFACILITY NUMBER:
194701072
ADMINISTRATOR/
DIRECTOR:
PHILIP LABRADAFACILITY TYPE:
300
ADDRESS:21171 S. WESTERN AVE #220TELEPHONE:
(562) 947-9740
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: CENSUS: DATE:
06/25/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Philip Labrada - Operations Manager TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of A&S Home Care, Inc DBA Comfort Keepers on 6/25/25 for a post licensing inspection. EA met with Operations Manager Philip Labrada. The proper posting of business hours and license was observed. The proof of insurance records were 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 Mr. Labrada and informed him of the deficiencies found and explained they would be noted on the 809D.

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

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2025
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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Document Has Been Signed on 06/25/2025 02:53 PM - It Cannot Be Edited


Created By: Ryan Chan On 06/25/2025 at 02:07 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
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: A&S HOME CARE, INC. DBA COMFORT KEEPERS

FACILITY NUMBER: 194701072

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/27/2025
Section Cited
1796.44 (b)(2)
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1796.44 (b)(2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control.

This requirement was not met as evidenced by:
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Based on records reviewed licensee did not ensure home care aide (S6) completed 3 hours of safety training prior to placing S6 with clients 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: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2025
LIC809 (FAS) - (06/04)
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