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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700315
Report Date: 10/15/2025
Date Signed: 10/15/2025 02:25:48 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/15/2025 02:25 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:ACE HOME HEALTH CARE LLCFACILITY NUMBER:
304700315
ADMINISTRATOR/
DIRECTOR:		JUSKIEWICZ, OLIVIAFACILITY TYPE:
300
ADDRESS:4695 MACARTHUR CT STE 1100TELEPHONE:
(833) 223-4063
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY: CENSUS: DATE:
10/15/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:James Byrnes, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:45 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 inspection. The EA met with the licensee, James Byrnes. EA observed the posting of the license and operating business hours. Business operating hours are from 10:00am am -4:00 pm, Monday thru Friday.

During the inspection, the EA reviewed personnel records for licensee, and Home Care Aides including fingerprint status', registry status', Tuberculosis (TB), and required training. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the 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), and staff records review (HCS 859) were provided to the licensee, James Byrnes via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2025
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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