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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700029
Report Date: 01/28/2025
Date Signed: 01/28/2025 01:51:49 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/28/2025 01:51 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:AALL CARE IN HOME SERVICESFACILITY NUMBER:
374700029
ADMINISTRATOR/
DIRECTOR:		JONES, FAITHFACILITY TYPE:
300
ADDRESS:1030 LA BONITA DR, STE 336TELEPHONE:
(760) 471-7033
CITY:LAKE SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY: CENSUS: DATE:
01/28/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Faith JonesTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On January 28, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Aall Care In Home Services for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by President Faith Jones. Analyst Mangina observed the proper posting of business hours and license. The Analyst was provided an area in which the review of personnel and administrative files could be performed. Ms. Jones provided Analyst with proof of current professional liability policy, worker's compensation, and dishonesty bond. Ten employee files were reviewed. Analyst advised that Emergency Procedures training be documented more formally on training logs.

Upon completion of the file review the analyst discussed the findings of the inspection with Ms. Jones and informed Licensee that no discrepancies were found.

LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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