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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701095
Report Date: 05/09/2025
Date Signed: 05/09/2025 04:02:37 PM

Document Has Been Signed on 05/09/2025 04:02 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:ST JUDE CARES LLCFACILITY NUMBER:
194701095
ADMINISTRATOR/
DIRECTOR:		GUEJAR JARINGFACILITY TYPE:
300
ADDRESS:9649 HARVARD STTELEPHONE:
(562) 486-8370
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: CENSUS: DATE:
05/09/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Maine Jaring - Licensee; Camille Reyes - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of St Jude Cares LLC on 5/9/25 for a post licensing inspection. Upon arrival, EA was greeted by licensee Maine Jaring, shortly after licensee Camille Reyes 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: 05/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025
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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