<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700416
Report Date: 09/10/2025
Date Signed: 09/11/2025 07:27:13 AM

Document Has Been Signed on 09/11/2025 07:27 AM - 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:ABILITY WEST HOME CAREFACILITY NUMBER:
304700416
ADMINISTRATOR/
DIRECTOR:		EBOW MENSAHFACILITY TYPE:
300
ADDRESS:6 CENTERPOINTE DR. #700TELEPHONE:
(714) 367-6533
CITY:LA PALMASTATE: CAZIP CODE:
90623
CAPACITY: CENSUS: DATE:
09/10/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Ebow Mensah, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a post licensingl inspection. The EA met with the licensee, Ebow Mensah. EA observed the posting of the license and operating business hours. Business operating hours are from 11:00 am-2:00 pm every Wednesdays.

During the inspection, the EA reviewed personnel records for licensee. The Licensee currently do not have active Home Care Aids (HCAs). 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, was provided to the licensee, Ebow Mensah via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1