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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700361
Report Date: 07/10/2025
Date Signed: 07/10/2025 04:30:03 PM

Document Has Been Signed on 07/10/2025 04:30 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:HOMECARE SOLUTION OF SAN DIEGO, LLCFACILITY NUMBER:
374700361
ADMINISTRATOR/
DIRECTOR:		OLEKSANDRA DVORSKAFACILITY TYPE:
300
ADDRESS:1995 STRATA ST.TELEPHONE:
(619) 739-6258
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY: CENSUS: DATE:
07/10/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Oleksandra DvorskaTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On July 10, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Homecare solution Solution of San Diego, LLC for a post licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by owner Oleksandra Dvorska. Analyst was provided with an area in which the review of personnel and administrative files could be performed. Analyst Mangina observed the proper posting of License and business hours. Owner provided Analyst with proof of valid professional liability policy, worker's compensation, and dishonesty bond.

Upon completion of the file review Analyst discussed the findings of the inspection with owner and informed owner that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2025
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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