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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700125
Report Date: 01/28/2025
Date Signed: 01/28/2025 03:50:28 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/28/2025 03:50 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:VISITING ANGELS OF NORTH COUNTYFACILITY NUMBER:
374700125
ADMINISTRATOR/
DIRECTOR:		NORA BROWN/SABRINA VASQUEZFACILITY TYPE:
300
ADDRESS:135 VALLECITOS DE ORO, STE DTELEPHONE:
(760) 736-9938
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: CENSUS: DATE:
01/28/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Jaime DillTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On January 28, 2025 Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Visiting Angels of North County for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Case Manager Sabrina Vasquez and Owner Jaime Dill. 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. Owner 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 Dill and informed Ms. Dill that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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