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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 214700004
Report Date: 03/23/2026
Date Signed: 03/23/2026 10:52:37 AM

Document Has Been Signed on 03/23/2026 10:52 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:J&M HOMECARE SERVICES, LLCFACILITY NUMBER:
214700004
ADMINISTRATOR/
DIRECTOR:
VINING E. JENSONFACILITY TYPE:
300
ADDRESS:77 MARK DRIVE, SUITE 12TELEPHONE:
(925) 552-6500
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: CENSUS: DATE:
03/23/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:21 AM
MET WITH:Vining JensonTIME VISIT/
INSPECTION COMPLETED:
10:55 AM
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Enforcement Analyst (EA) Yolanda Jones-Hankerson contacted Licensee Vining Jenson and Brian to schedule an inspection visit. Virtual and in-person options were discussed, and the Licensee elected to proceed with a virtual visit. EA explained virtual visit requirements, including camera participation, identification verification, and facility walk-through. EA confirmed the Licensee’s email and licensed address. The Licensee was instructed  an email will be sent to submit requested HCA personnel documents (TB, training, proof of registration, etc.) for selected staff by March 27, 2026 at 3:00pm. Microsoft Teams meeting invite was sent.
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2026
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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