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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700386
Report Date: 06/30/2026
Date Signed: 06/30/2026 03:36:07 PM

Document Has Been Signed on 06/30/2026 03:36 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:SOCAL ELITE CARE PROVIDERS LLCFACILITY NUMBER:
374700386
ADMINISTRATOR/
DIRECTOR:		TABLAN-TENGSON, MARITESFACILITY TYPE:
300
ADDRESS:2189 JOHNSTON RDTELEPHONE:
(760) 807-1457
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY: CENSUS: DATE:
06/30/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Marites Tablan-TengsonTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Enforcement Analyst (EA), Adrian Mangina, with the Home Care Services Branch (HCSB) conducted an announced visit for the purpose of a biennial inspection. The EA met with the licensee, Marites Tablan-Tengson. During tour of the facility, EA observed the posting of the license and business hours. Business operating hours are 9:00 am - 5:00 pm Monday through Friday.

During the inspection, the EA reviewed personnel records for licensee, and Home Care Aide including fingerprint status', registry status', Tuberculosis (TB), and required training. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the insurance requirements.

During today’s visit, EA Mangina found the Home Care Organization (HCO) was in compliance and no deficiencies were cited.

An exit interview was conducted, a copy of this report, Home Care Organization Evaluation Report (HCS809), Appeal Rights (HCS9058), and Review of Staff records (HCS859) were provided to the licensee, Marites Tablan-Tengson, via email.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2026
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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