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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700193
Report Date: 02/12/2025
Date Signed: 02/12/2025 12:04:34 PM

Document Has Been Signed on 02/12/2025 12:04 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:ZOILA'S IN HOME PRIVATE CARE INCFACILITY NUMBER:
334700193
ADMINISTRATOR/
DIRECTOR:		ENCINO, ZOILAFACILITY TYPE:
300
ADDRESS:13102 CUANDO WAYTELEPHONE:
(909) 745-0223
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY: CENSUS: DATE:
02/12/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Zoila Encino, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Enforcement Analyst (EA), Jane Cong-Huyen arrived at the business office of Zoila's In Home Care Inc. for a Post Licensing Inspection. Upon arrival, EA Cong-Huyen was greeted by the licensee, Zoila Encino. The proper posting of business hours and license was observed. The proof of insurance record was reviewed. Business operating hours are from 8am-5pm, Monday thru Friday.

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



Upon completion of the file review the analyst discussed the findings of the inspection with licensee and informed the Licensee that no deficiencies were found.

EA provided a copy of the report to the licensee via email.

LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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