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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700119
Report Date: 06/13/2024
Date Signed: 06/13/2024 02:57:57 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/13/2024 02:57 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:THEKEY OF CALIFORNIA, LLCFACILITY NUMBER:
374700119
ADMINISTRATOR/
DIRECTOR:		MELISSA REYESFACILITY TYPE:
300
ADDRESS:7777 FAY AVE STE 210TELEPHONE:
(650) 208-2390
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY: CENSUS: DATE:
06/13/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Sean CyganTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On June 13, 2024, Home Care Services Bureau (HCSB) Analysts Adrian Mangina and Ruben Perez arrived at the business office of The Key of California LLC for a Biennial inspection. Upon arrival, the HCSB analysts identified themselves and were greeted by Chris Yataco . The proper posting of business hours and license was observed. The analysts were shown to an area where the review of personnel and administrative files could be performed. Analysts observed current insurance policies and dishonesty bond. Upon completion of the file review the analysts discussed the findings of the inspection with Designee Sean Cygan and informed the Designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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