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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 214700001
Report Date: 06/03/2026
Date Signed: 06/03/2026 04:47:48 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/03/2026 04:47 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:ACCLAIM HOME CARE INC.FACILITY NUMBER:
214700001
ADMINISTRATOR/
DIRECTOR:		LEILANIE YOUNGFACILITY TYPE:
300
ADDRESS:4340 REDWOOD HIGHWAY A14TELEPHONE:
(415) 479-5184
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: CENSUS: DATE:
06/03/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:16 AM
MET WITH:Leilanie YoungTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Enforcement Analyst (EA) Yolanda Hankerson conducted a virtual visit and was greeted and met with the licensee Randy De Leon and designee Leilanie Young. During the visit, EA verified the posting of the license, observed the operation of the business, confirmed compliance with insurance requirements, and completed the required personnel file review.
The Home Care Organization (HCO) was found to be in compliance with applicable sections of the Health and Safety Code (HSC). Deficiencies were cited and documented on the 809D Correction Report. The deficiencies were discussed with the licensee/designee at the time of the visit.

An exit interview was conducted, and copies of the 809 Facility Evaluation, 809 Deficiencies, 859 Staff Records Review Reports, and appeal rights information were provided via email.
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2026
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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