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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700193
Report Date: 08/15/2024
Date Signed: 08/15/2024 02:42:17 PM

Document Has Been Signed on 08/15/2024 02:42 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:SUNNY CAREGIVING SERVICESFACILITY NUMBER:
304700193
ADMINISTRATOR/
DIRECTOR:		LIZA VALENCIAFACILITY TYPE:
300
ADDRESS:6131 ORANGETHORPE AVE #220ATELEPHONE:
(949) 413-9329
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: CENSUS: DATE:
08/15/2024
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Liza Valenzia, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Home Care Services Branch (HCSB) Analyst, Mila Quinto arrived at the business office of Sunny Caregiving Services for an biennial inspection. Upon arrival, Analyst Quinto was greeted by licensee, Liza Valencia. 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 designee there are no discrepancies found.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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