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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 344700080
Report Date: 01/22/2026
Date Signed: 01/22/2026 01:51:36 PM

Document Has Been Signed on 01/22/2026 01:51 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:ALICE CAREFACILITY NUMBER:
344700080
ADMINISTRATOR/
DIRECTOR:		TOMMASO ESMANECHFACILITY TYPE:
300
ADDRESS:8146 GREENBACK LN #106TELEPHONE:
(916) 292-8820
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY: CENSUS: DATE:
01/22/2026
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Jennie MartinezTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Enforcement Analyst (EA) Megan Vigil arrived at the location of the Home Care Organization (HCO) for the purpose of amending and obtaining signatures on the complaint investigation report. EA Vigil met with Licensee Jenny. The amendment was necessary due to additional information requiring clarification, which resulted in an additional meeting and interview with the Licensee.

The interview was conducted in person. During the meeting, EA Vigil reviewed the amended findings with the Licensee, addressed questions, and ensured accuracy of the revised information. The Licensee participated in the interview and acknowledged the amendments.

All applicable complaint investigation reports were successfully amended, reviewed, and signed. The amendment process was completed, and the records accurately reflect the updated information obtained during the additional interview.

NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2026
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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