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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 314700035
Report Date: 05/22/2024
Date Signed: 05/22/2024 01:46:32 PM

Document Has Been Signed on 05/22/2024 01:46 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:INSTA-CARE SERVICESFACILITY NUMBER:
314700035
ADMINISTRATOR/
DIRECTOR:		MARIA THERESA S. GARCIAFACILITY TYPE:
300
ADDRESS:300 HEMPHILL WAYTELEPHONE:
(916) 547-7192
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: CENSUS: DATE:
05/22/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Maria Theresa GarciaTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti, arrived at the business office of Insta-Care Services for an initial inspection on 5/22/24. Upon arrival, the HCSB analyst identified himself and was greeted by Maria Theresa and Richard Garcia. 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 Maria Theresa and Richard and informed the Licensees that no discrepancies were found.
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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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