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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700331
Report Date: 04/29/2025
Date Signed: 04/29/2025 02:37:15 PM

Document Has Been Signed on 04/29/2025 02:37 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:ALL IN-HOMECARE SERVICES INCFACILITY NUMBER:
304700331
ADMINISTRATOR/
DIRECTOR:		DE JESUS, KENDYFACILITY TYPE:
300
ADDRESS:12235 BEACH BLVD STE 206BTELEPHONE:
(310) 847-2845
CITY:STANTONSTATE: CAZIP CODE:
90680
CAPACITY: CENSUS: DATE:
04/29/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:14 PM
MET WITH:Monica Daniel, Licensee TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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Enforcement Analysts (EAs), Mila Quinto, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a post licensing visit. The EA met with the designee, Lynette Aquino. The licensee, Monica Daniel arrived shortly after. The EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am -5:00pm, 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 HCO’s business records were also reviewed during the visit including, the insurance requirements.

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

An exit interview was conducted, a copy of this report (HCS809 and HCS809D), staff records review (HCS 859) and appeal rights were provided to the licensee representative, Monica Daniel via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2025
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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Document Has Been Signed on 04/29/2025 02:37 PM - It Cannot Be Edited


Created By: Mila Quinto On 04/29/2025 at 01:58 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
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: ALL IN-HOMECARE SERVICES INC
FACILITY NUMBER: 304700331

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/06/2025
Section Cited
1796.45(c)
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1796.45 TB Testing(c) After submitting to an examination, an affiliated home care aide whose test for tuberculosis infection is negative shall be required to undergo an examination at least once every two years. Once an affiliated home care aide has a documented positive test for tuberculosis infection that has been followed by an X-ray, the examination is no longer required.
This requirement is not met as evidenced by:
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Based on file review, HCA#6 did not have a current tb clearance available for review.
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Type B
05/06/2025
Section Cited
1796.45(b)
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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, as follows:
(1) Two hours of orientation training regarding his or her role as caregiver and the applicable terms of employment.
(2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control.
This requirement is not met as evidenced by:
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Based on HCA file review, HCA1, HCA3, HCA4, HCA5, and HCA6 did not have the entry level training as the training on file were the annual 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: 04/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2025
LIC809 (FAS) - (06/04)
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