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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700038
Report Date: 03/04/2026
Date Signed: 03/04/2026 04:18:34 PM

Document Has Been Signed on 03/04/2026 04:18 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:ACCENTCARE OF CA - SAN DIEGOFACILITY NUMBER:
374700038
ADMINISTRATOR/
DIRECTOR:		RUALO, ABIGAILFACILITY TYPE:
300
ADDRESS:411 CAMINO DEL RIO S, STE 302TELEPHONE:
(619) 543-1660
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY: CENSUS: DATE:
03/04/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Abigail RuoloTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On March 4, 2026, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina conducted a virtual biennial Inspection via Teams of Accentcare of CA - San Diego. Upon commencement of the inspection the Enforcement Analyst identified herself and showed employee badge. Analyst was greeted by Designee Abigail Ruolo, who showed her Resident Alien Card. Analyst was provided employee files for review prior to this inspection. During the virtual inspection, Designee walked the premises and allowed Analyst Mangina to observe the proper posting of License and business hours. Analyst also viewed proof of valid professional liability policy and worker's compensation. Current dishonesty bond was unavailable during the inspection.

Upon completion of the file review the analyst discussed the findings of the inspection with Designee. The Analyst informed the representative named above of the deficiencies found and explained they would be noted on the HCS809-D forms. In addition, the Licensee was provided a copy of this report and the HCS9058 Appeal Rights form and will email a signed copy to Analyst upon receipt.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
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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Document Has Been Signed on 03/04/2026 04:18 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 03/04/2026 at 03:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: ACCENTCARE OF CA - SAN DIEGO
FACILITY NUMBER: 374700038

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2026
Section Cited
1796.42(c)
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License Posting, Insurance, and Abuse Reporting Licensee must... Maintain and abide by an employee dishonesty bond, including third-party coverage, with a minimum limit of ten thousand dollars ($10,000).
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This requirement was not met as evidenced by: during the review of files Licensee was unable to provide proof of current dishonesty bond, a finding which poses a potential health and safety risk to persons in care.
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Type B
03/06/2026
Section Cited
1796.43(a)(3)
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Employees, Volunteers, and Affiliated Home Care Aide Requirements: Home care organizations that employ affiliated home care aides shall ... Immediately notify the department when the home care organization no longer employs an individual as an affiliated home care aide.
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This requirement was not met as evidenced by: during the review of files Licensee did not immediately inform Department that reference #4 was no longer employed,as of 3/22/26, a finding which poses a potential health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
LIC809 (FAS) - (06/04)
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