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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700044
Report Date: 07/15/2024
Date Signed: 07/15/2024 12:33:36 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/15/2024 12:33 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:ADVANCAREFACILITY NUMBER:
334700044
ADMINISTRATOR/
DIRECTOR:		AMY FREITASFACILITY TYPE:
300
ADDRESS:27715 JEFFERSON AVE STE 113ATELEPHONE:
(951) 445-8582
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY: CENSUS: DATE:
07/15/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Amy FreitasTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On July 15, 2024, Home Care Services Bureau (HCSB) Analyst Adrian Mangina arrived at the business office of Advancare for a Biennial inspection. Upon arrival, the HCSB analyst identified herself and was greeted by Lisa De Luna and Jackie Daphness. 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. Analyst observed current insurance policies and dishonesty bond. Upon completion of the file review the analyst discussed the findings of the inspection with Designee Amy Freitas and informed the Designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2024
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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