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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700146
Report Date: 05/23/2025
Date Signed: 05/23/2025 01:49:13 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/23/2025 01:49 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:SENIOR CARE SERVICESFACILITY NUMBER:
374700146
ADMINISTRATOR/
DIRECTOR:		ZALDY BALANQUITFACILITY TYPE:
300
ADDRESS:2234 CORTINA CIRTELEPHONE:
(760) 536-6379
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY: CENSUS: DATE:
05/23/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Felipe AguasanTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On May 23, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of Senior Care Services which is located in a Residential Care for Elderly home (RCFE) also owned by Licensee for a Biennial inspection. Upon arrival, EA met with Designee Felipe Aguasan. Licensee Zaldy Balanquit participated by telephone. 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 provided Analyst with proof of current professional liability policy, worker's compensation, and dishonesty bond.

There are currently no clients and no Home Care Aides. EA reviewed three employee files. EA noted that that the two designees also have completed Home Care Aide training and advised that if Licensee would like to schedule them for Home Care Aide shifts in future, they will need to be affiliated on the California Home Care Aide registry prior to any contact with clients. EA also advised that Licensee must ensure that all employees provide TB tests that were completed no longer than 90 days prior to hire or within 7 days after and to ensure that all current and previous TB tests and training records be maintained in files.

Upon completion of the file review the analyst discussed the findings of the inspection with Mr. Aguasan and informed Designee that no discrepancies were found.

NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2025
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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