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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700276
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:14:15 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/04/2025 03:14 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:COMPASSIONATE IN-HOME CAREFACILITY NUMBER:
304700276
ADMINISTRATOR/
DIRECTOR:		CHARLEM MAE CALDERONFACILITY TYPE:
300
ADDRESS:1453 W. WEDGEWOOD DR.TELEPHONE:
(657) 236-7371
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: CENSUS: DATE:
02/04/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:CHARLEM MAE CALDERONTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted an on site inspection for the purpose of a biennial visit. The EA met with licensee, Charlem Mae Calderon. The EA observed the posting of the license and operating business hours. Business operating hours are from 9am-5pm, Monday thru Friday.

During the inspection, the EA reviewed personnel records for licensee, staff and Home Care Aides including fingerprint status', registry status', Tuberculosis (TB), and required training. The HCO’s business records were also reviewed during the visit including the license and insurance requirements.

During today’s visit, EA Quinto found the HCO was in compliance and no deficiencies were cited.
An exit
interview was conducted, a copy of this report (HCS809), staff records review (HCS 859) and appeal rights were provided to the licensee representative, Charlem Mae Carderon via email.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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