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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700222
Report Date: 09/10/2025
Date Signed: 09/10/2025 11:31:11 AM

Document Has Been Signed on 09/10/2025 11:31 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:GRISWOLD HOME CARE OF GREATER TEMECULAFACILITY NUMBER:
334700222
ADMINISTRATOR/
DIRECTOR:		JUNE CRUZ MENO TANNERFACILITY TYPE:
300
ADDRESS:41690 IVY STREET, SUITE C8TELEPHONE:
(951) 288-9635
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: CENSUS: DATE:
09/10/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Nolan ChandlerTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On September 10, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Griswold Home Care of Greater Temecula for a post Licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Nolan Chandler Analyst was provided with an area in which the review of personnel and administrative files could be performed. Analyst Mangina observed the proper posting of License and business hours. Designee provided Analyst with proof of valid professional liability policy, worker's compensation, and dishonesty bond.

Upon completion of the file review Analyst discussed the findings of the inspection with Mr. Chandler and informed Designee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2025
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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