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

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 314700033
Report Date: 07/21/2023
Date Signed: 07/21/2023 10:57:08 AM

Document Has Been Signed on 07/21/2023 10:57 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:RIGHT AT HOMEFACILITY NUMBER:
314700033
ADMINISTRATOR:MURALLON, MARTINFACILITY TYPE:
300
ADDRESS:5842 LONETREE BLVDTELEPHONE:
(916) 302-4243
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: CENSUS: DATE:
07/21/2023
Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Martin MurallonTIME COMPLETED:
11:00 AM
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
Home Care Services Bureau (HCSB) analysts Ramsey Chimienti and Michael Drake arrived at the business office of Right At Home for an initial inspection on 7/21/23. Upon arrival, the HCSB analysts identified themselves and were greeted by Martin Murrallon. The proper posting of business hours and license was observed. The analysts were then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analysts discussed the findings of the inspection with Martin Murrallon. The analysts informed the License of the deficiencies found and explained they would be noted on the 809D. Analyst conducted an exit interview with the Licensee and provided a copy of the HCS 809, 809D and the HCS 9058 Appeal Rights.
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
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 2
Document Has Been Signed on 07/21/2023 10:57 AM - It Cannot Be Edited


Created By: Ramsey Chimienti On 07/21/2023 at 10:44 AM
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

FACILITY NAME: RIGHT AT HOME
FACILITY NUMBER: 314700033

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2023
Section Cited
1796.44(c)
1
2
3
4
5
6
7
(c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific...
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2