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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700454
Report Date: 09/17/2025
Date Signed: 09/17/2025 02:38:32 PM

Document Has Been Signed on 09/17/2025 02:38 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:1HEART CAREGIVER SERVICES - HUNTINGTON BEACHFACILITY NUMBER:
304700454
ADMINISTRATOR/
DIRECTOR:
FRANCES CRUZFACILITY TYPE:
300
ADDRESS:19671 BEACH BLVD STE 304TELEPHONE:
(310) 770-5089
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY: CENSUS: DATE:
09/17/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Frances Cruz, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 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 post licensing inspection. The EA met with the licensee, Frances Cruz .EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am -5:00 pm, Monday through 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 Home Care Organization (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, Frances Cruz via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2025
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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