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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701080
Report Date: 06/13/2025
Date Signed: 06/13/2025 02:36:52 PM

Document Has Been Signed on 06/13/2025 02:36 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:SYNERGY HOMECARE OF WHITTIERFACILITY NUMBER:
194701080
ADMINISTRATOR/
DIRECTOR:		NOEMI HERRERAFACILITY TYPE:
300
ADDRESS:7255 COMSTOCK AVENUETELEPHONE:
(562) 512-0558
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY: CENSUS: DATE:
06/13/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Julia Jimenez - Licensee and Julio Jimenez - LIcenseeTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Synergy Homecare of Whittier on 6/13/25 for a post licensing inspection. Upon arrival, EA was greeted by licensee Julia Jimenez, shortly after licensee Julio Jimenez arrived. 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 both licensees and informed them that no discrepancies were found.

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

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2025
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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