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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700040
Report Date: 06/19/2024
Date Signed: 06/19/2024 02:53:57 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/19/2024 02:53 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:ADVANTA SENIOR CARE, INC.FACILITY NUMBER:
334700040
ADMINISTRATOR/
DIRECTOR:		MONTE MCKEONFACILITY TYPE:
300
ADDRESS:41593 WINCHESTER RD STE 200TELEPHONE:
(951) 252-6111
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY: CENSUS: DATE:
06/19/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Monte McKeonTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On June 19, 2024, Home Care Services Bureau (HCSB) Analyst Adrian Mangina arrived at the business office of Advanta Senior Care Inc. for a Biennial inspection. Upon arrival, the HCSB analyst identified herself and was greeted by Receptionist who stated that this is a shared work space. Analyst called Designee Monte McKeon who arrived with files approximately 40 minutes later. Analyst and Designee discussed the need to ensure business is conducted in primary office where files are kept and that sub-offices are allowed. Analyst observed business hours and license. The analyst was shown to an area where the review of personnel and administrative files could be performed. Analyst observed current insurance policies and dishonesty bond. Upon completion of the file review the analyst discussed the findings of the inspection with Mr. McKeon and informed the Designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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