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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700362
Report Date: 07/16/2025
Date Signed: 07/16/2025 04:38:18 PM

Document Has Been Signed on 07/16/2025 04:38 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:VISION HOME CARE LLCFACILITY NUMBER:
374700362
ADMINISTRATOR/
DIRECTOR:		MOHAMMED HASSENFACILITY TYPE:
300
ADDRESS:500 LA TERRAZA BLVD. #150TELEPHONE:
(858) 648-3402
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: CENSUS: DATE:
07/16/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Mohammed HassenTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On July 16, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Vision Home Care LLC for a post licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by owner Mohammed Hassen. 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 Mr. Hassen and informed owner that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2025
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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