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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700155
Report Date: 01/28/2025
Date Signed: 01/28/2025 11:43:20 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/28/2025 11:43 AM - 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:MY LITTLE HELPERS, LLC DBA SENIORS HELPING SENIORSFACILITY NUMBER:
374700155
ADMINISTRATOR/
DIRECTOR:
ABRAHAM III, GIDEONFACILITY TYPE:
300
ADDRESS:330 RANCHEROS DR. STE 208-BTELEPHONE:
(858) 774-8194
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: CENSUS: DATE:
01/28/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Gideon Abraham IIITIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On January 28, 2025 Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of My Little Helpers, LLC DBA Seniors Helping Seniors for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Gideon Abraham III. Operations Manager Denise Eiler was also present. 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. Designee Abraham 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 Designee Abraham and informed Designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2025
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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