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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700083
Report Date: 04/08/2026
Date Signed: 04/08/2026 02:40:23 PM

Document Has Been Signed on 04/08/2026 02:40 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:FRIENDLY HOME CARE SERVICES CORPFACILITY NUMBER:
304700083
ADMINISTRATOR/
DIRECTOR:
BERNOS, CIRILO B.FACILITY TYPE:
300
ADDRESS:1040 E WHITTIER BLVD #201TELEPHONE:
(562) 228-5863
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY: CENSUS: DATE:
04/08/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Cirilo Bernos, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB), conducted an on-site inspection for the purpose of a biennial inspection. The EA met with the licensee Cirilo Bernos. EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am -5:00 pm, Monday and Friday.

According to the licensee, they do not have the files for the home care aids and the insurance requirements available for review.

Based on the interview, EA informed the licensee of the following violations observe and being cited in accordance with Health and Safety Code 1796.42 License Posting, Insurance, and Abuse Reporting and 1796.52 (c) Inspections and Investigations; Oversight Responsibilities. See HCS809D.



An exit interview was conducted, a copy of this report (HCS809 and HCS 809D) were provided to the licensee, Cirilo Bernos via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2026
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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Document Has Been Signed on 04/08/2026 02:40 PM - It Cannot Be Edited


Created By: Mila Quinto On 04/08/2026 at 02:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: FRIENDLY HOME CARE SERVICES CORP

FACILITY NUMBER: 304700083

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/15/2026
Section Cited
1796.42
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1796.42 License Posting, Insurance, and Abuse ReportingA home care organization licensee shall do all of the following:
(a) Post its license, business hours, and any other information required by the department in its place of business in a conspicuous location, visible both to clients and affiliated home care aides.
(b) Maintain and abide by a valid workers’ compensation policy covering its affiliated home care aides.
(c) Maintain and abide by an employee dishonesty bond, including third-party coverage, with a minimum limit of ten thousand dollars ($10,000).
(d) Maintain proof of general and professional liability insurance in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the aggregate.
(e) Report any suspected or known dependent adult or elder abuse as required by Section 15630 of the Welfare and Institutions Code and suspected or known child abuse as required by Sections 11164 to 11174.3, inclusive, of the Penal Code. A copy of each suspected abuse report shall be maintained and available for review by the department during normal business hours.
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This requirement is not met as evidence by:
Based on interview, HCO did not have the worker's compensation, liability insurance and bond available for review.
This poses a potential health and safety risk to clients in care.
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Type B
04/15/2026
Section Cited
1796.52(c)
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1796.52 Inspections and Investigations
(c) An investigation or inspection conducted by the department pursuant to this chapter may include, but is not limited to, inspection of the books, records, or premises of a home care organization. A home care organization’s refusal to make records, books, or premises available shall constitute cause for the revocation of the home care organization’s license.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2026
LIC809 (FAS) - (06/04)
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