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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700024
Report Date: 03/04/2026
Date Signed: 03/04/2026 02:07:27 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/04/2026 02:07 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 INSTEAD SENIOR CAREFACILITY NUMBER:
334700024
ADMINISTRATOR/
DIRECTOR:		ROBERT COSTELLOFACILITY TYPE:
300
ADDRESS:73726 ALESSANDRO DR., #200TELEPHONE:
(760) 674-1905
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: CENSUS: DATE:
03/04/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Lilly Marquez - DesigneeTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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Enforcement Analyst (EA), Jane Cong-Huyen with the Home Care Services Branch (HCSB), conducted an onsite inspection for the purpose of a biennial licensing visit. The EA met with HCO representative, Lilly Marquez. The EA observed the posting of the license and operating business hours. Business operating hours are from 8:00am – 5:00pm, Monday through Friday.

During the inspection, the EA reviewed personnel records for staff and Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s). EA also reviewed the HCO’s business records for insurance requirements and document for the designee in the absence of the licensee.

EA Cong-Huyen found the HCO in compliance and no deficiencies were cited. An exit interview was conducted, and a copy of this report (HCS809) was provided to the HCO representative, Lilly Marquez, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
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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