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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700069
Report Date: 07/17/2025
Date Signed: 07/17/2025 11:47:14 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/17/2025 11:47 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:ALC HEALTHCARE, INC. DBA PATHFINDER HEALTHFACILITY NUMBER:
304700069
ADMINISTRATOR/
DIRECTOR:		AVELINA CUMBISFACILITY TYPE:
300
ADDRESS:10051 LAMPSON AVETELEPHONE:
7146365649
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY: CENSUS: DATE:
07/17/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Avelina Cumbis, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Enforcement Analysts (EAs), Mila Quinto and Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a biennial visit. The EAs met with the licensee, Avelina Cumbis. EAs observed the posting of the license and operating business hours. Business operating hours are from 8:00am am -4:00 pm, Monday thru Thursday and 8am-1pm on Fridays.

During the inspection, the EAs reviewed personnel records for licensee, and Home Care Aides including fingerprint status', registry status', Tuberculosis (TB), and required training. The HCO’s business records were also reviewed during the visit including, the insurance requirements.

During today’s visit, EAs Quinto and Cong-Huyen found the HCO was in compliance and no deficiencies were cited.

An exit interview was conducted, a copy of this report (HCS809), staff records review (HCS 859) and appeal rights were provided to the licensee, Avelina Cumbis' email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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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