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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700279
Report Date: 11/14/2025
Date Signed: 11/26/2025 12:44:07 PM

Document Has Been Signed on 11/26/2025 12:44 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:A CARE BEYOND MEASUREFACILITY NUMBER:
374700279
ADMINISTRATOR/
DIRECTOR:
SANTAYANA, CECILIAFACILITY TYPE:
300
ADDRESS:1724 DOWNS STTELEPHONE:
(800) 486-4431
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: CENSUS: DATE:
11/14/2025
Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Cecilia SantayanaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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On 11/14/25 Home Care Services Bureau (HCSB) Enforcement Analyst (EA) Adrian Mangina was at the address above conducting a complaint investigation. EA met with Designee Cecilia Santayana.

While questioning Designee about the complaint allegation Designee indicated that she thought she knew the incident that precipitated the complaint. Designee provided EA with information regarding a shift wherein the Home Care Aide (HCA) left a shift early, leaving a client without supervision. Designee stated that she terminated the HCA on 10/31/25, but at the time of this visit, the HCA was still affiliated with the Home Care Organization. The following violation is being cited in accordance with Health and Safety Code Health and Safety Code, Division 2, Chapter 13, Section 1796.43(a)(3).

Exit interview conducted and a copy of this report provided to Designee.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2025
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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Document Has Been Signed on 11/26/2025 12:44 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 11/14/2025 at 11:50 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: A CARE BEYOND MEASURE

FACILITY NUMBER: 374700279

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2025
Section Cited
1796.43(a)(3)
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Employees, Volunteers, and Affiliated Home Care Aide Requirements: Home care organizations that employ affiliated home care aides shall...Immediately notify the department when the home care organization no longer employs an individual as an affiliated home care aide.
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During a complaint investigation interview, Designee stated that they terminnated the employment of reference #1 on 10/31/25, but that individual was still associated to the Home Care Organization as of 11/14/25, a finding which poses a potential health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2025
LIC809 (FAS) - (06/04)
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