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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 314700038
Report Date: 10/08/2025
Date Signed: 10/08/2025 01:09:28 PM

Document Has Been Signed on 10/08/2025 01:09 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:ACASA SENIOR CAREFACILITY NUMBER:
314700038
ADMINISTRATOR/
DIRECTOR:		SHAUN GERONIMOFACILITY TYPE:
300
ADDRESS:5828 LONETREE BLVDTELEPHONE:
(916) 618-8752
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: CENSUS: DATE:
10/08/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Shaun GeronimoTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti, arrived at the business /office of Acasa Senior Care for an initial inspection on 10/8/25. Upon arrival, the HCSB //analyst identified himself and was greeted by Licensee, Shaun Geronimo. 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 Shaun that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ramsey Chimienti
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2025
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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