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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700236
Report Date: 10/22/2025
Date Signed: 10/22/2025 02:32:16 PM

Document Has Been Signed on 10/22/2025 02:32 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:ELITE HOME CAREGIVERS, INCFACILITY NUMBER:
334700236
ADMINISTRATOR/
DIRECTOR:		BRODY, RACHAELFACILITY TYPE:
300
ADDRESS:35325 DATE PALM DR STE 153BTELEPHONE:
(442) 204-1073
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY: CENSUS: DATE:
10/22/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Roland Picman, President of HCOTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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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 Post/2 year required licensing visit. The EA met with HCO representative, Roland Picman. The EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am – 5:00pm, Monday through Friday. HCO will be changing the office hours to Wednesdays, 10:00am - 4:00pm.

During the inspection, the EA reviewed personnel records for staff: fingerprint clearances. Since the HCO currenly has not clients and in the process of hiring HCAs, EA reviewed regulations for documentation for 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 and documentation for designee.

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, Roland Ticman, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2025
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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