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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701101
Report Date: 02/26/2025
Date Signed: 02/26/2025 10:30:47 AM

Document Has Been Signed on 02/26/2025 10:30 AM - 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:AMADA SENIOR CARE SAN DIMAS CAFACILITY NUMBER:
194701101
ADMINISTRATOR/
DIRECTOR:		REANNE BEETONFACILITY TYPE:
300
ADDRESS:1050 LAKES DR STE#225TELEPHONE:
(626) 482-4456
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: CENSUS: DATE:
02/26/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Reanne Beeton - Licensee, Estefany Reyes - Field SupervisorTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Amada Senior Care San Dimas CA on 2/26/25 for a post licensing inspection. Upon arrival, EA was greeted by Field Supervisor Estefany Reyes, licensee Reanne Beeton arrived shortly after. 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 Chan concluded the visit with an exit interview and provided a copy of this report to the licensee.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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