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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700333
Report Date: 09/17/2024
Date Signed: 09/17/2024 09:42:46 AM

Document Has Been Signed on 09/17/2024 09:42 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:CHEER HOME CARE, LLCFACILITY NUMBER:
374700333
ADMINISTRATOR/
DIRECTOR:		BROOKE P. MARTINDALEFACILITY TYPE:
300
ADDRESS:5685 LA JOLLA BLVDTELEPHONE:
(917) 716-8003
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY: CENSUS: DATE:
09/17/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Brook MartindaleTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Cheer Home Care LLC on September 17, 2024 for a Post Licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Chief Operating Officer (COO) Designee Amanda Hughes and Warjeen Suleiman. Licensee Brooke Martindale arrived a short time later. 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. Analyst with current Certificate of Insurance showing that professional liability policy, worker's compensation, and dishonesty bond are current. Employee files were reviewed. Upon completion of the file review Analyst discussed the findings of the inspection with Licensee Martindale and Designee Hughes and informed them that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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