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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700041
Report Date: 03/18/2026
Date Signed: 05/26/2026 11:30:52 AM

Document Has Been Signed on 05/26/2026 11:30 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:WAY COOL HOMECARE, INC.FACILITY NUMBER:
374700041
ADMINISTRATOR/
DIRECTOR:		MOURA EVERHARTFACILITY TYPE:
300
ADDRESS:9745 PROSPECT AVE, STE 203TELEPHONE:
(619) 444-3200
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: CENSUS: DATE:
03/18/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Benjamin EverhartTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Adrian Mangina
spoke to licensee Ben Everhart to conduct a telephone pre-inspection interview.
The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The
virtual visit is scheduled for March 19th at 10:30 AM via Microsoft Teams.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2026
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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