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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700117
Report Date: 09/03/2025
Date Signed: 09/03/2025 12:30:08 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/03/2025 12:30 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:A RAINBOW OF CARE, HCFACILITY NUMBER:
364700117
ADMINISTRATOR/
DIRECTOR:		CARTER, REGINAFACILITY TYPE:
300
ADDRESS:517 N. MOUNTAIN AVE #214TELEPHONE:
(909) 781-6744
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY: CENSUS: DATE:
09/03/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Louis Hobbs, DesigneeTIME VISIT/
INSPECTION COMPLETED:
12:30 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 2 year required licensing visit. The EA met with HCO representative, Louis Hobbs. The EA observed the posting of the license and operating business hours. Business operating hours are from 9am-1pm, Wednesdays.

During the inspection, the EA reviewed personnel records of staff including fingerprint status, registry status, Tuberculosis (TB), and required training. EA also reviewed the HCO’s business records including document for designee in the absence of the licensee and insurance requirements were also reviewed during the visit. At this time, the HCO only has one part time client. The licensee is the care provider for the client at this time. The licensee will hire more HCAs as needed.

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, Louis Hobbs, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2025
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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