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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700119
Report Date: 03/12/2026
Date Signed: 03/12/2026 02:25:04 PM

Document Has Been Signed on 03/12/2026 02:25 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:
03/12/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Jessica PascasioTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On March 12, 2026, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina conducted a virtual biennial Inspection via Teams of TheKey of California. Upon commencement of the inspection the Enforcement Analyst identified herself and displayed employee badge. Analyst was greeted by Designee Jessica Pascasio who presented her California Driver's License as ID. Skilled Home Health Compliance Associate, Amy Gordon and Compliance Associate Nicole Avedis also participated. 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, worker's compensation, and dishonesty bond 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 deficiency found and explained it would be noted on the HCS809-D form. In addition, the Licensee was provided a copy of this report and the HCS9058 Appeal Rights form. Designee will email signed copy of this report to Analyst upon receipt.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
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 03/12/2026 02:25 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 03/12/2026 at 08:31 AM
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: THEKEY OF CALIFORNIA, LLC
FACILITY NUMBER: 374700119

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/19/2026
Section Cited
1796.45(a)
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TB TESTING: Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease.
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This requirement was not met as evidenced by: During the review of files Licensee was not able to provide proof that Reference #3, obtained negative TB test within 90 days before hire or 7 days after, a finding which poses an immediate health and safety risk to persons in care.
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Type A
03/19/2026
Section Cited
1796.44(b)(2)
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TRAINING REQUIREMENTS:(b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows: ... three hours of safety training, including basic safety precautions, emergency procedures, and infection control.
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This requirement was not met as evidenced by: A review of training records provided found that Licensee was not able to provide proof that reference #4,completed of required 1 of 3 hours entry-level training including: emergency procedures, prior to client contact, a finding which poses an immediate 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: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
LIC809 (FAS) - (06/04)
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