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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 344700017
Report Date: 06/23/2026
Date Signed: 06/25/2026 03:06:04 PM

Document Has Been Signed on 06/25/2026 03:06 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:FORTUNE SENIOR ENTERPRISESDBA COMFORT KEEPERSFACILITY NUMBER:
344700017
ADMINISTRATOR/
DIRECTOR:
MAFFEO, VINCEFACILITY TYPE:
300
ADDRESS:6060 SUNRISE VISTA DR STE 1180TELEPHONE:
(916) 560-9100
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: CENSUS: DATE:
06/23/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Myisha KitchenTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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Enforcement Analyst (EA) Megan Vigil contacted the Designee, Myisha Kitchen, via telephone at 916.560.9100 and successfully spoke with them. The EA introduced themselves and explained their role with the Home Care Services Branch (HCSB). The purpose of the call was to discuss and schedule the required biennial licensing visit.
During the conversation, the option of conducting the visit virtually was presented and explained in detail. The EA reviewed the virtual visit process, including technology requirements, expectations for participation, and the ability to meet all applicable licensing requirements remotely. Expectations for the file review were discussed, including that all records must be complete, accessible, legible, and available or review prior to and during the visit. Attendance requirements and all licensing expectations were also reviewed.
The Licensee confirmed their ability to meet the virtual visit requirements on 6/2526 at 11:00AM. Both parties agreed on the meeting format and scheduled date and time, and the Licensee acknowledged understanding of all expectations and requirements.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2026
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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