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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700059
Report Date: 04/03/2025
Date Signed: 04/03/2025 01:21:42 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/03/2025 01:21 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:CARE CHOICE HOME CAREFACILITY NUMBER:
374700059
ADMINISTRATOR/
DIRECTOR:		TARA IZZOFACILITY TYPE:
300
ADDRESS:1151 S SANTA FE AVETELEPHONE:
(760) 798-4508
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: CENSUS: DATE:
04/03/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Tara IzzoTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On April 3, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of Care Choice Home Care for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Director of Operations Kimberly Welch. Co-owner Tara Izzo was also present. Analyst Mangina observed the proper posting of business hours and license. Analyst was provided an area in which the review of personnel and administrative files could be performed. Ms. Welch provided Analyst with proof of valid professional liability policy, worker's compensation, and dishonesty bond. Fifteen employee files were reviewed.

Upon completion of the file review Analyst discussed the findings of the inspection with representatives named above and informed Ms. Izzo that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2025
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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