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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 314700036
Report Date: 03/26/2024
Date Signed: 03/26/2024 03:35:25 PM

Document Has Been Signed on 03/26/2024 03:35 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:HOME HELPERS HOME CARE OF ROCKLIN, CAFACILITY NUMBER:
314700036
ADMINISTRATOR:AARON WINAKERFACILITY TYPE:
300
ADDRESS:2339 CLUBHOUSE DRTELEPHONE:
(818) 510-1333
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: CENSUS: DATE:
03/26/2024
Post LicensingUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Aaron WinakerTIME COMPLETED:
03:30 PM
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Home Care Services Branch (HCSB) Associate Government Program Analyst (AGPA) Megan Vigil, arrived at the business office of Home Helpers Home Care for a Post Licensing Inspection on DATE at approximately 2:30pm.

Upon arrival, AGPA Vigil identified herself and was greeted by Licensee, Aaron Winaker . 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, AGPA Vigil discussed the findings of the inspection with the Licensee. Advised the deficiencies found and would be noted on the 809D with a plan of corrections. A copy of the report was provided with appeal rights. Exit interview was conducted.

LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 03/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2024
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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