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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700238
Report Date: 12/12/2024
Date Signed: 12/12/2024 02:31:57 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/12/2024 02:31 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:WINDWARD LIFE CAREFACILITY NUMBER:
374700238
ADMINISTRATOR/
DIRECTOR:		NORMAN J. HANNAYFACILITY TYPE:
300
ADDRESS:1635 LAKE SAN MARCOS DR ST.201TELEPHONE:
(619) 450-4300
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY: CENSUS: DATE:
12/12/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Chelsea KennedyTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On December 12, 2024, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Windward Life Care. for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Kari Thomas, Client Services representative. 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 Chelsea Kennedy provided Analyst with proof of current professional liability policy, worker's compensation, and dishonesty bond. Danielle Neal, Recruiting and Retention Manger participated via video conference. Ten employee files were reviewed.

Upon completion of the file review the analyst discussed the findings of the inspection with Designee Kennedy and Ms. Neal and informed representatives that no discrepancies were found.

LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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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