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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700233
Report Date: 06/05/2025
Date Signed: 06/05/2025 12:22:38 PM

Document Has Been Signed on 06/05/2025 12:22 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:RICH CARE SERVICES INCFACILITY NUMBER:
334700233
ADMINISTRATOR/
DIRECTOR:		RONALD CUASAYFACILITY TYPE:
300
ADDRESS:26623 OPAL STTELEPHONE:
(951) 500-9198
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY: CENSUS: DATE:
06/05/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Ronald Cuasay, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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Enforcement Analysts (EA), Jane Cong-Huyen with the Home Care Services Branch (HCSB) conducted an onsite inspection for the purpose of a post licensing visit. The EA met with licensee, Ronald Cuasay. The EA observed the posting of the license and operating business hours. Business operating hours are from 10am-5pm, Thursday and Friday.

During the inspection, the EA reviewed personnel records for licensee and Home Care Aides including fingerprint status, registry status, Tuberculosis (TB), and required training(s). The licensee state at this time he only has 2 HCAs since he has two clients. EA also reviewed HCO’s business records including document for designee in the absence of the licensee and insurance requirements were also reviewed during the visit.

Based on the file review, EA informed the licensee of the deficiency/deficiencies 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, Ronald Cuasay, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2025
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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Document Has Been Signed on 06/05/2025 12:22 PM - It Cannot Be Edited


Created By: Jane Cong-Huyen On 06/05/2025 at 11:39 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: RICH CARE SERVICES INC
FACILITY NUMBER: 334700233

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2025
Section Cited
1796.14 (b)
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1796.14(b) - An affiliated home care aide shall be listed on the home care aide registry prior to providing home care services to a client.This requirement is not met as evidence by: based on file review. HCA #3 did not a valid home care registry. This poses an immedicate health & safety code to 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: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2025
LIC809 (FAS) - (06/04)
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