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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700144
Report Date: 09/10/2024
Date Signed: 09/10/2024 09:24:06 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/10/2024 09:24 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:AMERICAN QUALITY CARE FOR THE ELDERLYFACILITY NUMBER:
304700144
ADMINISTRATOR/
DIRECTOR:		PAUL HINKLEYFACILITY TYPE:
300
ADDRESS:4050 KATELLA AVE. #208TELEPHONE:
(562) 430-2910
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY: CENSUS: DATE:
09/10/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:John Magat, DesigneeTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Enforcement Analyst (EA), Mila Quinto arrived at the business office of American Quality Care for the Elderly for a biennial inspection. Upon arrival, EA Quinto was greeted by designee, John Magat. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. EA Quinto reviewed the personnel and administrative files. Upon completion of the file review, EA Quinto discussed the findings of the inspection with designee and informed the designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2024
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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