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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700029
Report Date: 11/25/2025
Date Signed: 11/25/2025 01:52:08 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 11/25/2025 01:52 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:FAMILIES CHOICE HOME CAREFACILITY NUMBER:
364700029
ADMINISTRATOR/
DIRECTOR:		KEN INGRAMFACILITY TYPE:
300
ADDRESS:545 N MOUNTAIN AVE, SUITE 209TELEPHONE:
(909) 303-9377
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY: CENSUS: DATE:
11/25/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Gina Lomeli - Director of OperationTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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Enforcement Analysts (EAs), Jane Cong-Huyen and Ryan Chan with the Home Care Services Branch (HCSB), conducted an onsite inspection for the purpose of a 2 year required licensing visit. The EAs met with HCO representative, Gina Lomeli. The EAs observed the posting of the license and operating business hours. Business operating hours are from 8:30am - 5:00pm, Monday through Friday.

During the inspection, the EAs reviewed personnel records for staff and Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s). EAs also reviewed the HCO’s business records for insurance requirements and document for designee in the absence of the licensee.

EAs Cong-Huyen & Chan 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, Gina Lomeli, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2025
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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