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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700336
Report Date: 06/17/2024
Date Signed: 06/17/2024 12:24:41 PM

Document Has Been Signed on 06/17/2024 12:24 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:HOME CARE ANGELS, LLCFACILITY NUMBER:
374700336
ADMINISTRATOR/
DIRECTOR:		LANA MARCHETTIFACILITY TYPE:
300
ADDRESS:235 F AVE.TELEPHONE:
(602) 920-6862
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: CENSUS: DATE:
06/17/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Lana MarchettiTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On June 17, 2024, Home Care Services Bureau (HCSB) Analyst Adrian Mangina arrived at the business office of Home Care Angels for a Post Licensing inspection. Upon arrival, the HCSB analyst identified herself and was greeted by Licensee Lana Marchetti. The proper posting of business hours and license was observed. The analyst was shown to an area where the review of personnel and administrative files could be performed. There are no current Home Care Aides in employment at this time. Analyst observed current insurance policies and dishonesty bond. Upon completion of the file review the analyst discussed the findings of the inspection with Licensee Lana Marchetti and informed the Licensee that no discrepancies were found.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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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