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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700110
Report Date: 05/21/2026
Date Signed: 05/21/2026 10:52:13 AM

Document Has Been Signed on 05/21/2026 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:BLUESEA CARE SERVICESFACILITY NUMBER:
304700110
ADMINISTRATOR/
DIRECTOR:		JILLIAN KENNEDY HARFOUCHEFACILITY TYPE:
300
ADDRESS:209 1/2 MAIN STTELEPHONE:
(949) 554-5411
CITY:SEAL BEACHSTATE: CAZIP CODE:
90740
CAPACITY: CENSUS: DATE:
05/21/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Jillian Kennedy Harfouche, LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to licensee Jillian Kennedy Harfouche to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for June 3, 2026 at 9:00am via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2026
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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