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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700172
Report Date: 10/16/2024
Date Signed: 11/20/2024 03:46:29 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 11/20/2024 03:46 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:AT HOME CARE 24/7 BECAUSE WE CARE INC.FACILITY NUMBER:
304700172
ADMINISTRATOR/
DIRECTOR:		CHRISTINE WHITEFACILITY TYPE:
300
ADDRESS:2214 RICHMOND ST.TELEPHONE:
(714) 588-6734
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: CENSUS: DATE:
10/16/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Christine White, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:05 PM
NARRATIVE
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Enforcement Analyst (EA), Mila Quinto arrived at the business office of At Home Care for a biennial inspection. Upon arrival, Analyst Quinto was greeted by the licensee Christine White. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. The Analyst reviewed the personnel and administrative files.

Based on the file review, analyst informed the licensee of the deficiency found and explained they would be noted on the 809D.

The analyst provided a copy of the report to the licensee via email.

LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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Document Has Been Signed on 11/20/2024 03:46 PM - It Cannot Be Edited


Created By: Mila Quinto On 10/16/2024 at 12:30 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

FACILITY NAME: AT HOME CARE 24/7 BECAUSE WE CARE INC.
FACILITY NUMBER: 304700172

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/30/2024
Section Cited
1796.44(a)
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1796.44 Training Requirements (b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client..
This requirement is not met as evidenced by:
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Based on file review, HCA 1 did not have the total entry training hours and missing 3 hours of entry level training.
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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: 10/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
LIC809 (FAS) - (06/04)
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