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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700375
Report Date: 06/20/2025
Date Signed: 06/20/2025 03:22:34 PM

Document Has Been Signed on 06/20/2025 03:22 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:AGING AT HOME CAREGIVING, LLCFACILITY NUMBER:
374700375
ADMINISTRATOR/
DIRECTOR:
MARTHA ABRAHAMFACILITY TYPE:
300
ADDRESS:440 STEVENS AVE STE 200TELEPHONE:
(858) 585-7294
CITY:SOLANA BEACHSTATE: CAZIP CODE:
92075
CAPACITY: CENSUS: DATE:
06/20/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Martha AbrahamTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On June 20, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Aging at Home for a post Licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Martha Abraham. Analyst was provided with an area in which the review of personnel and administrative files could be performed. Designee 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 and informed Designee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2025
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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