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

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701101
Report Date: 07/09/2026
Date Signed: 07/10/2026 08:04:46 AM

Document Has Been Signed on 07/10/2026 08:04 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:1509 W CAMERON AVE STE 220TELEPHONE:
(626) 608-1913
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: CENSUS: DATE:
07/09/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:ReAnne BeetonTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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 Branch (HCSB), Enforcement Analyst (EA), Jane Cong-Huyen spoke with the HCO prepresentative, ReAnne Beeton, to conduct a telephone pre-inspection interview. ReAnne confirmed HCO Information. The HCO is due for a biennial visit and has agreed to a virtual inspection visit with EA.

The virtual inspection visit is scheduled for Friday 7/17/2026 @ 11:30am via Microsoft Teams. EA emailed the HCO with specific instructions regarding the virtual licensing inspection and the required documentation for the HCO to submit to EA via email before/by Wednesday 7/15/26.

The HCO will be receiving this report via email. HCO will send report back to EA with signature as soon as possible or by today 7/9/26 to confirm the virtual inspection visit with payroll records from the last 30 days.

NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2026
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