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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700043
Report Date: 02/05/2025
Date Signed: 02/05/2025 11:17:11 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/05/2025 11:17 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:F&J EHLERS ENTERPRISES,INC DBA AMADA SENIOR CAREFACILITY NUMBER:
374700043
ADMINISTRATOR/
DIRECTOR:		FRED EDWARD EHLERS JR.FACILITY TYPE:
300
ADDRESS:2124 S. EL CAMINO REAL STE 205TELEPHONE:
(760) 828-4150
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: CENSUS: DATE:
02/05/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Cherie BurroughTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On February 5, 2025 Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of F&J Ehlers Inc., DBS Amada Senior Care for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Heather McLaughlin. Analyst Mangina observed the proper posting of business hours and license. Owner Cherie Borrough provided Analyst with an area in which the review of personnel and administrative files could be performed. Ms. Borrough provided Analyst with current Certificate of Insurance showing that professional liability policy, worker's compensation, and dishonesty bond are current. Ten employee files were reviewed.

Upon completion of the file review Analyst discussed the findings of the inspection with Owner Borrough and informed Ms. Borrough that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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