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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700159
Report Date: 05/19/2025
Date Signed: 05/19/2025 02:46:11 PM

Document Has Been Signed on 05/19/2025 02:46 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:WELLNESS AT HOME CARE, LLCFACILITY NUMBER:
364700159
ADMINISTRATOR/
DIRECTOR:		GUILLERMO MONTIELFACILITY TYPE:
300
ADDRESS:7359 MONTROSE AVETELEPHONE:
(909) 259-0555
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: CENSUS: DATE:
05/19/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Guillmo Montiel - OwnerTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Enforcement Analysts (EA), Jane Cong-Huyen with the Home Care Services Branch (HCSB) conducted an onsite inspection for the purpose of a Post licensing visit. The EA met with licensee, Guillermo Montiel. The EA observed the posting of the license and operating business hours. Business operating hours are from 8:30am-5:00pm, Mondays.

During the inspection, the EA reviewed personnel records for licensee, staff and Home Care Aides including fingerprint status, registry status, Tuberculosis (TB), and required training(s). The HCO’s business records including document for designee in the absence of the licensee and insurance 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, Guillermo Montiel, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2025
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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