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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700167
Report Date: 07/21/2026
Date Signed: 07/21/2026 12:53:51 PM

Document Has Been Signed on 07/21/2026 12:53 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:CITIZEN HOME CAREFACILITY NUMBER:
364700167
ADMINISTRATOR/
DIRECTOR:
ALEXANDER PARKERFACILITY TYPE:
300
ADDRESS:15433 YORBA AVETELEPHONE:
(800) 515-1930
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: CENSUS: DATE:
07/21/2026
Post LicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Alexander ParkerTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Enforcement Analyst (EA), Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. EA met with the licensee, Alexander Parker. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 7:00am - 12:00pm, Tuesdays and Thursdays.

The licensee stated currently the HCO has no staff and no clients. During the inspection, EA reviewed the requirements for personnel records for Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s) when the HCO has client(s) and staff. EA also reviewed the HCO’s business records for insurance requirements.



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, Alexander Parker, via email.
Jane Cong-Huyen
DATE: 07/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2026
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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