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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700048
Report Date: 03/11/2025
Date Signed: 03/11/2025 02:23:29 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/11/2025 02:23 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:GLORIA'S IN-HOME SERVICESFACILITY NUMBER:
364700048
ADMINISTRATOR/
DIRECTOR:		RAZO, GLORIAFACILITY TYPE:
300
ADDRESS:11986 CYPRESS AVETELEPHONE:
(760) 221-5875
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: CENSUS: DATE:
03/11/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Gloria Razo, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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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 biennial visit. The EA met with licensee, Gloria Razo. The EA observed the posting of the license and operating business hours. Business operating hours are from 9am-5pm, Mondays and Tuesdays.

During the inspection, the EA reviewed personnel records for licensee. Licensee has fingerprint clearance. She states she is currently not providing care at this time due to no clients and is having a hard time hiring any HCAs. She is planning to hire HCAs when she acquires clients. The HCO’s business records including document for designee include insurance, bond and worker's comp requirements were also reviewed during the visit.

EA Cong-Huyen found the HCO in compliance and no deficiencies were cited. An exit interview was conducted, a copy of this report (HCS809), was provided to the licensee/HCO representative, Gloria Razo, via email.
LICENSING EVALUATOR NAME: Jane Cong-Huyen
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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