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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700198
Report Date: 11/30/2022
Date Signed: 11/30/2022 04:12:59 PM

Document Has Been Signed on 11/30/2022 04:12 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:VISITING ANGELS DBA BEEBE CARE, INC.FACILITY NUMBER:
304700198
ADMINISTRATOR:BEEBE, FRANKFACILITY TYPE:
300
ADDRESS:1020 S. ANAHEIM BLVD., STE 205TELEPHONE:
(714) 927-3222
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: CENSUS: DATE:
11/30/2022
Required - 2 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Frank BeebeTIME COMPLETED:
04:20 PM
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Home Care Services Bureau (HCSB) analyst Ruben Perez arrived at the business office of Visiting Angels on 11/30/2022. Upon arrival, the HCSB analyst identified himself and was greeted by Frank Beebe. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with Frank and informed the licensee that no discrepancies were found.
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
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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