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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701160
Report Date: 09/02/2025
Date Signed: 09/02/2025 05:17:33 PM

Document Has Been Signed on 09/02/2025 05:17 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 LAKEWOODFACILITY NUMBER:
194701160
ADMINISTRATOR/
DIRECTOR:		ROBERT REGANFACILITY TYPE:
300
ADDRESS:5220 CLARK AVE STE 345TELEPHONE:
(562) 213-9137
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: CENSUS: DATE:
09/02/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Robert Regan - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Synergy Homecare Of Lakewood on 9/2/25 for a post licensing inspection. EA met with licensee Robert Regan. 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 the licensee and informed him that no discrepancies were found.

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

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2025
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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