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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 314700012
Report Date: 12/05/2025
Date Signed: 12/05/2025 03:37:34 PM

Document Has Been Signed on 12/05/2025 03:37 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:SYNERGY HOMECAREFACILITY NUMBER:
314700012
ADMINISTRATOR/
DIRECTOR:
CHRISTINE SORGMANFACILITY TYPE:
300
ADDRESS:2003-A OPPORTUNITY DR, STE 6TELEPHONE:
(916) 899-5925
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: CENSUS: DATE:
12/05/2025
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Christine SorgmanTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti, arrived at the business office of Synergy HomeCare for a biennial inspection on 12/5/25. Upon arrival, the HCSB analyst identified himself and was greeted by Christine Sorgman. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with the Licensee and informed Christine that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ramsey Chimienti
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2025
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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