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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700173
Report Date: 03/04/2026
Date Signed: 03/04/2026 11:54:27 AM

Document Has Been Signed on 03/04/2026 11:54 AM - 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:AROSA - COACHELLA VALLEYFACILITY NUMBER:
334700173
ADMINISTRATOR/
DIRECTOR:		VERGIS, CYRILFACILITY TYPE:
300
ADDRESS:73261 HIGHWAY 111 STE 205TELEPHONE:
(760) 568-2937
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: CENSUS: DATE:
03/04/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Andrea Bajaras, DesigneeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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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 inspection visit. The EA met with HCO representative, Andrea Barajas. The EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am – 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, Andrea Bajaras, 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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