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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700137
Report Date: 06/19/2025
Date Signed: 06/19/2025 01:08:55 PM

Document Has Been Signed on 06/19/2025 01:08 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:
06/19/2025
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Susan UnionTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On June 19, 2025, Home Care Services Bureau (HCSB) Enforcement Analysts, Adrian Mangina and Joshua Rarela arrived at the business office of At Home Care Solution, Inc. for a Case Management inspection for the purpose of obtaining additional training documents to supplement those provided on 10/22/24 via email by Kathleen Eyles, Administrative/HR Manager. EA Mangina had requested employee files as part of a complaint investigation for the complaint received 9/13/24. During the visit, Ms. Eyles, Administrative/HR Manger participated by phone. During the review of documents originally provided, EA found that some Home Care Aide files did not have documentation of completion of required annual training as required. Ms. Eyles stated that she had not provided complete training records via email in October but will forward the most complete training records to EA Mangina no later than 6/24/25. EA will review documents and determine if there are any deficiencies and if necessary, will address at a later inspection.

The Licensee was provided a copy of the HCS9058 Appeal Rights form and a copy of this report via email.

NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2025
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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