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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700408
Report Date: 07/09/2025
Date Signed: 07/09/2025 04:18:51 PM

Document Has Been Signed on 07/09/2025 04:18 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:LIFELINE ESSENTIAL CAREFACILITY NUMBER:
374700408
ADMINISTRATOR/
DIRECTOR:		JANET MEJICAFACILITY TYPE:
300
ADDRESS:1861 CRAIGMORE AVETELEPHONE:
(442) 349-0054
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: CENSUS: DATE:
07/09/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Janet MejicaTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On July 9, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Lifeline Essential Care for a post licensing inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by owner Janet Mejica. Analyst was provided with an area in which the review of personnel and administrative files could be performed. 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: 07/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2025
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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