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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 364700171
Report Date: 08/06/2026
Date Signed: 08/06/2026 12:10:52 PM

Document Has Been Signed on 08/06/2026 12:10 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:MAX CARE AT HOME LLCFACILITY NUMBER:
364700171
ADMINISTRATOR/
DIRECTOR:		CELESTE GUZMANFACILITY TYPE:
300
ADDRESS:10 TERRACINA BLVDTELEPHONE:
(909) 609-4241
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: CENSUS: DATE:
08/06/2026
Annual/RandomANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Adriana Valdivia - LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:00 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, Adriana Valdivia and HCO representative, Celeste Guzman. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 10:00am - 2:00pm, Monday through Friday.

During the inspection, EA reviewed personnel records for 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.



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, Adriana Valdivia, via email.
Jane Cong-Huyen
DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2026
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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