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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700229
Report Date: 04/03/2026
Date Signed: 04/03/2026 01:11:18 PM

Document Has Been Signed on 04/03/2026 01:11 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:YOUR HOME, SENIOR CARE LLCFACILITY NUMBER:
334700229
ADMINISTRATOR/
DIRECTOR:
MELANIE NUNEZFACILITY TYPE:
300
ADDRESS:27744 POST OAK PLTELEPHONE:
(951) 428-9341
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: CENSUS: DATE:
04/03/2026
Annual/RandomANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Melanie Nunez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Enforcement Analyst (EA), Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. EA met with the licensee, Melanie Nunez. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 11:30am - 5:00pm, Thursdays.

During the inspection, EA reviewed personnel records for Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s). Licensee stated currently she only has one active HCA and one client in care. EA also reviewed the HCO’s business records for insurance requirements.



Based on the file review, EA informed the licensee of the deficiency found and explained they would be noted on the 809D. An exit interview was conducted, a copy of this report (HCS809), staff records review (HCS 859) and appeal rights were provided to the licensee, Melanie Nunez, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2026
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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Document Has Been Signed on 04/03/2026 01:11 PM - It Cannot Be Edited


Created By: Jane Cong-Huyen On 04/03/2026 at 11:50 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: YOUR HOME, SENIOR CARE LLC

FACILITY NUMBER: 334700229

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2026
Section Cited
1796.44
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1796.44 Training - 1796.44(c)...an affiliated home care aide shall complete a minimum of five hours of annual training...
This requirement is not met as evidenced by:
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Based on records reviewed licensee did not ensure home care aides #1 completed 5 hours of annual training before working with client(s) which poses a potential risk to the health and safety of clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2026
LIC809 (FAS) - (06/04)
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