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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700137
Report Date: 08/20/2024
Date Signed: 08/20/2024 03:05:46 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/20/2024 03:05 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:AT HOME CARE SOLUTION, INC.FACILITY NUMBER:
374700137
ADMINISTRATOR/
DIRECTOR:		REYNOLDS, LAURENFACILITY TYPE:
300
ADDRESS:531 ENCINITAS BLVD SUITE 120TELEPHONE:
(760) 634-8000
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: CENSUS: DATE:
08/20/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Lauren ReynoldsTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of At Home Care Solution, Inc. on August 20, 2024 for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Care Coordinator Susan Union. Designee Lauren Reynolds and HR Manger Kathleen Eyles were also present. Analyst Mangina observed the proper posting of business hours and license. The Analyst was provided an area in which the review of personnel and administrative files could be performed. Designee Reynolds provided Analyst with current Certificate of Insurance showing that professional liability policy, worker's compensation, and dishonesty bond are current. Employee files were reviewed. Upon completion of the file review Analyst discussed the findings of the inspection with Designee Lauren Reynolds and informed the Designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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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