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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700160
Report Date: 10/14/2025
Date Signed: 10/14/2025 11:10:11 AM

Document Has Been Signed on 10/14/2025 11:10 AM - 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:PROMISING CARE HOMECARE LLCFACILITY NUMBER:
364700160
ADMINISTRATOR/
DIRECTOR:		CAROL CHAVOLLAFACILITY TYPE:
300
ADDRESS:26723 BARTON RDTELEPHONE:
(951) 796-4664
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: CENSUS: DATE:
10/14/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Carol Chavolla, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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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 Post licensing visit. The EA met with licensee, Carol Chavolla. The EA observed the posting of the license and business hours. The HCO office hours: Thursdays 9:00am-11:00am.

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

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 licensee, Carol Chavolla, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2025
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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